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Emergency and critical care

Emergency and critical care

27-01-2017 | Emergency medicine | News | Article

Early tracheal intubation after cardiac arrest contested

Study results published in JAMA suggest that tracheal intubation performed within the first 15 minutes of in-hospital cardiac arrest is associated with decreased survival compared with no intubation during this timeframe.

08-12-2016 | Cardiology | News | Article

Decision aid increases knowledge of ACS risk in patients with low-risk chest pain

Results of a randomized trial suggest that shared decision making facilitated by an aid increases knowledge of acute coronary syndrome risk and reduces hospital admissions compared with usual care among patients with low-risk chest pain in the emergency department.

06-10-2016 | Cardiology | News | Article

Hypothermia effectiveness for in-hospital cardiac arrest challenged

Analysis of the Get With The Guidelines–Resuscitation registry suggests that therapeutic hypothermia does not benefit and may even harm patients with in-hospital cardiac arrest.

09-06-2016 | Stroke | News | Article

ATACH-2 disputes intensive BP control benefits in acute ICH

Reducing systolic blood pressure to less than 140 mmHg has offered no benefits over standard care for patients with acute intracerebral haemorrhage in the ATACH-2 trial.

19-08-2013 | Orthopaedics | Article

Simple rule for pediatric ankle injury avoids unnecessary radiography

A clinical decision rule can safely replace diagnostic radiography in the majority of children presenting to hospital with acute ankle injuries, say Canadian researchers.

14-07-2013 | Radiology | Article

CT ‘adds nothing’ to stab wound decisions

Serial physical examination has more impact than computed tomography findings on therapy decisions in patients with abdominal stab wounds, shows a prospective analysis.

18-06-2013 | Stroke | Article

Earlier the better holds up in clinical practice for stroke thrombolysis

Data from the Get With The Guidelines–Stroke initiative show the benefits of prompt thrombolysis in clinical practice.

10-06-2013 | Infectious disease | Article

Extended antibiotics fail to reduce open fracture infection

The high risk for infection in patients with extensive soft tissue damage around an open fracture is not reduced by extending the duration of antibiotic treatment, research suggests.

29-05-2013 | Stroke | Article

INTERACT2 challenges ‘longstanding dogma’ of ICH management

The results of INTERACT2 show that blood pressure in patients with acute intracerebral hemorrhage can be reduced to within the normotensive range without excess adverse effects.

09-05-2013 | Emergency medicine | Article

Hypertension drug shows schizophrenia promise

Results from a proof-of-concept study point to a role for sodium nitroprusside in the treatment of schizophrenia.

29-04-2013 | Paediatrics | Article

Frequency of childhood gunshot injuries ‘concerning’

Results from a survey carried out in Colorado, USA, show that a small but significant number of children in the region are killed or injured by firearms every year.

23-04-2013 | Stroke | Article

Directed training facilitates out-of-hours emergency brain scans

An intensive teaching session helps emergency department physicians to reliably interpret head computed tomography scans when a radiologist is not on duty, a study shows.

22-04-2013 | Emergency medicine | Article

Noninvasive neonatal heart monitoring method shows promise

The diameter of the inferior vena cava on ultrasound correlates strongly with central venous pressure in neonates, research shows.

18-04-2013 | Emergency medicine | Article

Glutamine supplements increase mortality in critically ill patients

Giving critically ill patients with multiorgan failure intravenous and enteral glutamine supplements increases mortality at 6 months, and antioxidant supplements have no effect, a study shows.

08-04-2013 | Infectious disease | Article

Clinical prediction model developed for febrile children

Researchers have developed a clinical prediction model to assess the likelihood of different serious bacterial infections in children presenting at the emergency department with fever.

07-04-2013 | Radiology | Article

Pushy parents head for CT

Parents may unduly influence whether or not their child undergoes cranial computed tomography after sustaining minor blunt head trauma, researchers warn.

04-04-2013 | Anaesthesiology | Article

Ultrasound enables fuss-free lumbar puncture

Use of ultrasound imaging helps to minimize adjustments, failures, and trauma during lumbar puncture or epidural catheterization, conclude the authors of a systematic review and meta-analysis.

02-04-2013 | Cardiology | Article

CLUE to emergency antihypertensive approach for end-organ damage

Patients admitted to the emergency department with hypertension and suspected end-organ damage reach target systolic blood pressure faster with a nicardipine infusion than a labetalol bolus, research suggests.

26-03-2013 | Infectious disease | Article

Electronic tool helps doctors identify pneumonia patients

US researchers have developed a real-time electronic screening tool to help emergency department physicians identify patients with pneumonia.

25-03-2013 | Emergency medicine | Article

Understaffing for intensive care infants has infection consequences

Nurse understaffing relative to national guidelines is associated with higher rates of infection among very-low-birthweight infants in US neonatal intensive care units, a study shows.