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Emergency and critical care

Emergency and critical care

24-03-2013 | Neurology | Article

Combination strategy to treat traumatic brain injury pays off

Combining hyperbaric oxygen and normobaric hyperoxia into a single treatment improves outcomes for patients who have sustained severe traumatic brain injury, according to a phase II study.

20-03-2013 | Metabolism | Article

Underfeeding unnecessary for acute lung injury patients

Long-term results from a study comparing initial trophic or low-energy with full-energy enteral feeding in patients with acute lung injury show comparable outcomes in both groups.

19-03-2013 | Psychology | Article

Psychologic benefits for relatives witnessing CPR

People given the option to witness the cardiopulmonary resuscitation of close relatives are less likely to suffer post-traumatic stress disorder symptoms than those who are not, French research shows.

19-03-2013 | Emergency medicine | Article

Presenting symptoms belie ED discharge diagnoses

Presenting symptoms among patients in the emergency department do not differ between those who need hospital treatment and those who could have been treated in primary care, a study in JAMA shows.

19-03-2013 | Metabolism | Article

Light shed on stress response in critically ill

A large part of the hypercortisolemia seen in critically ill patients is down to reduced breakdown of cortisol, say researchers.

17-03-2013 | Surgery | Article

MRI reveals linear lesions after mild concussion

Brain imaging has detected lesions in patients with apparent mild traumatic brain injury that may help identify patients in need of acute treatment, researchers say.

13-03-2013 | Internal medicine | Article

Hopeful prognosis for in-hospital cardiac arrest survivors

Long-term survival rates among elderly survivors of in-hospital cardiac arrest are better than generally assumed, report researchers in

The New England Journal of Medicine

.

13-03-2013 | Infectious disease | Article

Amylase in bronchoalveolar lavage fluid predicts pneumonia

Levels of alpha-amylase in bronchoalveolar lavage fluid can be used to detect pulmonary aspiration and predict bacterial pneumonia in critically ill, intubated adults, US researchers report.

12-03-2013 | Cardiology | Article

Prehospital fibrinolysis benefits some myocardial infarction patients

Prehospital fibrinolysis may be a substitute reperfusion strategy in patients with ST-segment elevation myocardial infarction if prompt percutaneous coronary intervention is not possible, research shows.

12-03-2013 | Cardiology | Article

Study CHAMPIONs cangrelor antiplatelet

The fast-acting antiplatelet agent cangrelor significantly reduces the risk for ischemic events, including stent thrombosis, in patients during percutaneous coronary intervention, without significantly increasing severe bleeding, researchers report.

11-03-2013 | General practice | Article

Temperature peaks trigger elderly respiratory admissions

US researchers have found that rises in outdoor heat are associated with increased numbers of respiratory hospital admissions among the elderly.

11-03-2013 | General practice | Article

Temporal artery temperature misses pediatric fever detection

Temporal artery thermometry should not be used in place of rectal measurement in the emergency management of very young febrile infants, US researchers warn.

07-03-2013 | Internal medicine | Article

Resuscitation with colloids not recommended

Resuscitation with colloids does not appear to decrease the risk for death, and may even increase mortality, a comprehensive study of trial data reveals.

05-03-2013 | Cardiology | Article

Lactated Ringer’s safety caution in cardiac arrest

Prehospital intravenous loading with lactated Ringer’s solution may reduce the chances for survival with good neurologic outcome among patients with out-of-hospital cardiac arrest, an observational study suggests.

04-03-2013 | Emergency medicine | Article

Increased pneumonia rates after Japan earthquake

Significantly increased rates of pneumonia and related deaths were seen after the 2011 Earthquake and Tsunami in Tohoku, Japan, report researchers.

25-02-2013 | General practice | Article

COPD benzodiazepine warning

Canadian researchers have found that benzodiazepines are frequently prescribed for patients with chronic obstructive pulmonary disease (COPD), despite their known association with adverse respiratory outcomes.

25-02-2013 | Emergency medicine | Article

Direct approach speeds ventilator weaning

Moving straight to unassisted breathing through a tracheostomy collar results in faster weaning than does a gradual reduction in pressure support among patients needing prolonged mechanical ventilation, shows a randomized trial in

JAMA

.

20-02-2013 | Otolaryngology | Article

Light-guided technique helps novice laryngoscopists become pros

Retrograde light-guided laryngoscopy is an effective alternative to conventional direct laryngoscopy for tracheal intubation and may also improve the success rates of novice laryngoscopists, suggest study findings.

19-02-2013 | Internal medicine | Article

Misconduct biased fluid resuscitation studies

There are “serious safety concerns” associated with the use of hydroxyethyl starch for fluid resuscitation in critically ill patients, say the authors of a meta-analysis in

JAMA

.

18-02-2013 | Cardiology | Article

Income inequality equals more hospital readmissions

Patients living in areas of uneven wealth-distribution are at an increased risk for hospital readmission, according to US research findings published in the

BMJ

.