collection
https://read.qxmd.com/read/26152849/experts-recommendations-for-the-management-of-adult-patients-with-cardiogenic-shock
#21
JOURNAL ARTICLE
Bruno Levy, Olivier Bastien, Bendjelid Karim, Alain Cariou, Tahar Chouihed, Alain Combes, Alexandre Mebazaa, Bruno Megarbane, Patrick Plaisance, Alexandre Ouattara, Christian Spaulding, Jean-Louis Teboul, Fabrice Vanhuyse, Thierry Boulain, Kaldoun Kuteifan
Unlike for septic shock, there are no specific international recommendations regarding the management of cardiogenic shock (CS) in critically ill patients. We present herein recommendations for the management of cardiogenic shock in adults, developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of the French-Language Society of Intensive Care (Société de Réanimation de Langue Française (SRLF)), with the participation the French Society of Anesthesia and Intensive Care (SFAR), the French Cardiology Society (SFC), the French Emergency Medicine Society (SFMU), and the French Society of Thoracic and Cardiovascular Surgery (SFCTCV)...
December 2015: Annals of Intensive Care
https://read.qxmd.com/read/26200583/teaching-quality-improvement-in-graduate-medical-education-an-experiential-and-team-based-approach-to-the-acquisition-of-quality-improvement-competencies
#22
JOURNAL ARTICLE
Karen Hall Barber, Karen Schultz, Abigail Scott, Emily Pollock, Jyoti Kotecha, Danyal Martin
PROBLEM: An emerging priority in medical education is the need to facilitate learners' acquisition of quality improvement (QI) competencies. Accreditation bodies in both Canada and the United States have included QI and patient safety in their core competencies. APPROACH: In 2010, the Department of Family Medicine at Queen's University designed a graduate medical education curriculum to engage residents in a clinical QI program that would meet accreditation requirements...
October 2015: Academic Medicine
https://read.qxmd.com/read/26101406/should-we-be-looking-for-and-treating-isolated-calf-vein-thrombosis
#23
REVIEW
Daniel Horner, Kerstin Hogg, Richard Body
Management of isolated calf deep vein thrombosis is an area of significant international debate and variable clinical practice. Both therapeutic anticoagulation and conservative management carry risk. As clinical care of suspected and confirmed venous thromboembolic disease increasingly becomes the remit of emergency medicine, complex decisions are left to practising clinicians at the front door. We aim to provide a contemporary overview of recent evidence on this topic and associated challenges facing clinicians...
June 2016: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/26067924/vasopressor-and-inotrope-use-in-canadian-emergency-departments-evidence-based-consensus-guidelines
#24
REVIEW
Dennis Djogovic, Shavaun MacDonald, Andrea Wensel, Rob Green, Osama Loubani, Patrick Archambault, Simon Bordeleau, David Messenger, Adam Szulewski, Jon Davidow, Janeva Kircher, Sara Gray, Katherine Smith, James Lee, Jean Marc Benoit, Dan Howes
No abstract text is available yet for this article.
February 2015: CJEM
https://read.qxmd.com/read/26014437/ventilator-strategies-and-rescue-therapies-for-management-of-acute-respiratory-failure-in-the-emergency-department
#25
REVIEW
Jarrod M Mosier, Cameron Hypes, Raj Joshi, Sage Whitmore, Sairam Parthasarathy, Charles B Cairns
Acute respiratory failure is commonly encountered in the emergency department (ED), and early treatment can have effects on long-term outcome. Noninvasive ventilation is commonly used for patients with respiratory failure and has been demonstrated to improve outcomes in acute exacerbations of chronic obstructive lung disease and congestive heart failure, but should be used carefully, if at all, in the management of asthma, pneumonia, and acute respiratory distress syndrome. Lung-protective tidal volumes should be used for all patients receiving mechanical ventilation, and FiO2 should be reduced after intubation to achieve a goal of less than 60%...
November 2015: Annals of Emergency Medicine
https://read.qxmd.com/read/26002889/air-versus-oxygen-in-st-segment-elevation-myocardial-infarction
#26
RANDOMIZED CONTROLLED TRIAL
Dion Stub, Karen Smith, Stephen Bernard, Ziad Nehme, Michael Stephenson, Janet E Bray, Peter Cameron, Bill Barger, Andris H Ellims, Andrew J Taylor, Ian T Meredith, David M Kaye
BACKGROUND: Oxygen is commonly administered to patients with ST-elevation-myocardial infarction despite previous studies suggesting a possible increase in myocardial injury as a result of coronary vasoconstriction and heightened oxidative stress. METHODS AND RESULTS: We conducted a multicenter, prospective, randomized, controlled trial comparing oxygen (8 L/min) with no supplemental oxygen in patients with ST-elevation-myocardial infarction diagnosed on paramedic 12-lead ECG...
June 16, 2015: Circulation
https://read.qxmd.com/read/25991800/improving-post-resuscitation-care-following-out-of-hospital-cardiac-arrest
#27
JOURNAL ARTICLE
Jessica Lynde, Ollie Zorab
BACKGROUND: Improving sustained ROSC rates following out-of-hospital cardiac arrest is a key focus for ambulance services. Accordingly, a Quality Improvement (QI) project was initiated whereby an Intensive Care Society post-resuscitation care bundle of evidence-based interventions was adapted for use by pre-hospital clinicians. The objective was to introduce and embed this care bundle, in order to increase its delivery. emermed;32/6/e18-b/EMERMED2015204980TB1T1EMERMED2015204980TB1 Apr & May 2012 Apr & May 2013 Apr & May 2014 No...
June 2015: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/25921543/education-for-cardiac-arrest-treatment-or-prevention
#28
REVIEW
Gary B Smith, John Welch, Michael A DeVita, Ken M Hillman, Daryl Jones
In-hospital cardiac arrests (IHCA) occur infrequently and individual staff members working on general wards may only rarely encounter one. Mortality following IHCA is high and the evidence for the benefits of many advanced life support (ALS) interventions is scarce. Nevertheless, regular, often frequent, ALS training is mandatory for many hospital medical staff and nurses. The incidence of pre-cardiac arrest deterioration is much higher than that of cardiac arrests, and there is evidence that intervention prior to cardiac arrest can reduce the incidence of IHCA...
July 2015: Resuscitation
https://read.qxmd.com/read/25616589/abdominal-migraine-in-the-differential-diagnosis-of-acute-abdominal-pain
#29
JOURNAL ARTICLE
Gianfranco Cervellin, Giuseppe Lippi
Although traditionally regarded as a specific pediatric disease, abdominal migraine may also be observed in adults. Unfortunately, however, this condition is frequently overlooked in the differential diagnosis of abdominal pain in the emergency department (ED). A 30-year-old woman presented to our ED complaining of abdominal pain and vomiting, lasting for 12 hours. The pain was periumbilical, continuous, and not associated with fever or diarrhea. The physical examination and the results of conventional blood tests were normal...
June 2015: American Journal of Emergency Medicine
https://read.qxmd.com/read/25578887/managing-nontraumatic-acute-back-pain
#30
REVIEW
Jonathan A Edlow
No abstract text is available yet for this article.
August 2015: Annals of Emergency Medicine
https://read.qxmd.com/read/24972494/do-minimally-displaced-closed-tibial-fractures-in-children-need-monitoring-for-compartment-syndrome
#31
JOURNAL ARTICLE
Karan Malhotra, Sunil Pai, Graham Radcliffe
INTRODUCTION: Acute compartment syndrome (ACS) may be seen following tibial fractures in adults. Although the risk of this complication is thought to be lower in children (especially in those under the age of 12 years) it is routine practice in many units to admit all children with this injury for observation. The aim of this study was to ascertain whether all children under the age of 12 presenting with fractures of the tibia merited admission and to provide recommendations on how to manage these patients based on our experience with this injury...
February 2015: Injury
https://read.qxmd.com/read/24962889/five-strategies-to-effectively-use-online-resources-in-emergency-medicine
#32
JOURNAL ARTICLE
Brent Thoma, Nikita Joshi, N Seth Trueger, Teresa M Chan, Michelle Lin
No abstract text is available yet for this article.
October 2014: Annals of Emergency Medicine
https://read.qxmd.com/read/24567149/top-10-mobile-apps-in-emergency-medicine
#33
REVIEW
Michelle Lin, Salim Rezaie, Iltifat Husain
Mobile apps are increasingly being used at the bedside as a part of clinical care. With almost 300 emergency medicine-related apps available in the Apple App Store, it can be overwhelming deciding which are most useful for emergency department providers. A Top 10 list of apps is highlighted which illustrate the many ways that quality apps can positively impact the care of emergency department patients.
May 2014: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/24224639/videos-in-clinical-medicine-laryngeal-mask-airway-in-medical-emergencies
#34
REVIEW
Geoffrey Lighthall, T Kyle Harrison, Larry F Chu
This video demonstrates the placement of a laryngeal mask airway, an alternative airway device that is both efficacious and easy to place. The laryngeal mask airway is routinely used for patients receiving general anesthesia and, increasingly, in patient resuscitation.
November 14, 2013: New England Journal of Medicine
https://read.qxmd.com/read/24136119/simulation-training-based-on-observation-with-minimal-participation-improves-paediatric-emergency-medicine-knowledge-skills-and-confidence
#35
JOURNAL ARTICLE
Scott A Bloch, Amy J Bloch
OBJECTIVE: Simulation is becoming standard during emergency medicine (EM) training. To determine if observation-based simulation with minimal participation improves knowledge, skill performance and confidence, we created and evaluated 12 paediatric emergency medicine (PEM) simulations focusing on the educational value of observation. METHODS: Thirty-one EM residents participated in 1-2 simulations each and observed multiple others. Scores obtained on a knowledge test presimulation and postsimulation, clinical skills assessed for changes in performance over the course of the study, and confidence questionnaires given presimulation and postsimulation were analysed...
March 2015: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/21745092/risk-markers-of-sudden-cardiac-death-in-standard-12-lead-electrocardiograms
#36
REVIEW
M Juhani Junttila, Agustin Castellanos, Heikki V Huikuri, Robert J Myerburg
The annual incidence of sudden cardiac death (SCD) is estimated at 1 per 1,000 for adults over the age of 35 years, and 1 per 100,000 for adolescents and young adults. Although the overall incidence of unexpected SCD among previously healthy persons is small, the emotional impact of these events is devastating. The 12-lead electrocardiogram (ECG) has been used as a risk assessment tool from healthy occupational applicants and athletes to patients with cardiovascular disorders. The ECG is also routinely recorded in the majority of patients hospitalized for non-cardiovascular causes...
November 2012: Annals of Medicine
https://read.qxmd.com/read/19255396/supraventricular-tachycardia
#37
REVIEW
Jack C Salerno, Stephen P Seslar
Supraventricular tachycardia is the most common rhythm disturbance in children. We reviewed the spectrum of this common rhythm disorder from symptom recognition and epidemiology to management, with special attention to advancements in the available treatment options.
March 2009: Archives of Pediatrics & Adolescent Medicine
https://read.qxmd.com/read/19188334/dexmedetomidine-vs-midazolam-for-sedation-of-critically-ill-patients-a-randomized-trial
#38
RANDOMIZED CONTROLLED TRIAL
Richard R Riker, Yahya Shehabi, Paula M Bokesch, Daniel Ceraso, Wayne Wisemandle, Firas Koura, Patrick Whitten, Benjamin D Margolis, Daniel W Byrne, E Wesley Ely, Marcelo G Rocha
CONTEXT: Gamma-aminobutyric acid receptor agonist medications are the most commonly used sedatives for intensive care unit (ICU) patients, yet preliminary evidence indicates that the alpha(2) agonist dexmedetomidine may have distinct advantages. OBJECTIVE: To compare the efficacy and safety of prolonged sedation with dexmedetomidine vs midazolam for mechanically ventilated patients. DESIGN, SETTING, AND PATIENTS: Prospective, double-blind, randomized trial conducted in 68 centers in 5 countries between March 2005 and August 2007 among 375 medical/surgical ICU patients with expected mechanical ventilation for more than 24 hours...
February 4, 2009: JAMA
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