Critical Care & Emergencies

Review: Hepatorenal Syndrome

24 Apr, 2019 | 06:21h | UTC

Why most diagnostic procedures aren’t beneficial – PulmCrit (free)

“when strict evidence-based medicine is applied to procedures, they are often less impressive”.


Update in Neurocritical Care

17 Apr, 2019 | 06:25h | UTC

Review: Cardiogenic Shock

8 Apr, 2019 | 01:06h | UTC

In-Hospital Cardiac Arrest: A Review

28 Mar, 2019 | 07:31h | UTC

In-Hospital Cardiac Arrest: A Review – JAMA (free for a limited period)


Management of acute upper gastrointestinal bleeding – The BMJ (free for a limited period)


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Thyrotoxicosis: Diagnosis and Management

26 Mar, 2019 | 01:43h | UTC

Diagnostic Accuracy of Point-of-Care Lung Ultrasonography and Chest Radiography in Adults With Symptoms Suggestive of Acute Decompensated Heart Failure: A Systematic Review and Meta-analysis – JAMA Network Open (free)

“The findings suggest that Lung Ultrasonography is more sensitive than Chest Radiography in detecting pulmonary edema in ADHF”.


Presented at the American College of Cardiology (ACC) 2019 Scientific Session.

Coronary Angiography after Cardiac Arrest without ST-Segment Elevation – New England Journal of Medicine (free for a limited period)

Editorial: Coronary Angiography after Cardiac Arrest — The Right Timing or the Right Patients? (free for a limited period)

Commentaries: Angiography timing does not impact survival after cardiac arrest for NSTEMI patients – American College of Cardiology (free) AND COACT: Delayed Angiography Does Not Compromise Survival in Cardiac Arrest Patients Without STEMI – TCTMD (free)


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Presented at the European Heart Rhythm Association 2019 Congress.

Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation – New England Journal of Medicine (free for a limited period)

Editorial: The RACE to Treat Atrial Fibrillation in the Emergency Department (free for a limited period)

Commentary: For Acute A-fib, Wait-and-See Approach May Spare Many Patients from Cardioversion – TCTMD (free)


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Guidelines for Antibiotic Prescription in Intensive Care Unit – Indian Journal of Critical Care Medicine (free PDF)

Source: Critical Care Reviews Newsletter

Comprehensive guideline covering many common conditions in the Critical Care Unit.


Acute Respiratory Distress Syndrome – Nature Reviews Disease Primer (free PDF)


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Signs and Symptoms That Rule out Community-Acquired Pneumonia in Outpatient Adults: A Systematic Review and Meta-Analysis – Journal of the American Board of Family Medicine (free)

Adults with an acute respiratory infection who have normal vital signs (temperature < 37,8 / respiratory rate < 20 / heart rate < 100) and a normal pulmonary examination are very unlikely to have CAP.


Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: nationwide cohort study – the BMJ (free)

Commentary: ECG rhythm and airway management make all the difference during a heart attack – Osaka University (free)


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Review: Glucose Control in the ICU

6 Mar, 2019 | 01:27h | UTC

The Difficult Airway Trolley: A Narrative Review and Practical Guide – Anesthesiology Research and Practice (free)

Related Guidelines: Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults – British Journal of Anaesthesia (free) AND Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway – Anesthesiology (free)

“Despite several national guidelines on management of the anticipated and unanticipated difficult airway, with separate guidelines for pediatric, obstetric, and intensive care settings, only limited effort has been directed towards developing specific suggestions regarding the contents of a Difficult Airway Trolley”


Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER) : A Randomized Trial – American Journal of Respiratory and Critical Care Medicine (link to abstract – $ for full-text)

See Commentary by Wellington ICU

“This is a promising result, and more and larger studies are needed to confirm the findings.” (from Wellington ICU)


Fever control in critically ill adults. An individual patient data meta-analysis of randomised controlled trials – Intensive Care Medicine (free)

Note: if the above link is not working, try this one

“Our findings do not support the hypothesis that more active fever management increases survival compared with less active fever management overall or in patients with limited physiological reserves.”


Fluid administration for acute circulatory dysfunction using basic monitoring: narrative review and expert panel recommendations from an ESICM task force – Intensive Care Medicine (free for a limited period)

Note: if the above link is paywalled, try this one


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Podcast: Hyperkalemia Master Class

6 Feb, 2019 | 00:52h | UTC

International Consensus Guidelines for the Optimal Use of the Polymyxins – Pharmacotherapy (free)

Endorsed by the American College of Clinical Pharmacy (ACCP), European Society of Clinical Microbiology and Infectious Diseases (ESCMID), Infectious Diseases Society of America (IDSA), International Society for Anti‐infective Pharmacology (ISAP), Society of Critical Care Medicine (SCCM), and Society of Infectious Diseases Pharmacists (SIDP).


Humanizing the intensive care unit – Critical Care (free)


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10 Myths About Frusemide

30 Jan, 2019 | 23:31h | UTC

10 myths about frusemide – Intensive Care Medicine (free)

Note: if the above link is paywalled, try this one


Perspective: Debates in Sepsis

30 Jan, 2019 | 23:20h | UTC

Patient-reported complications related to peripherally inserted central catheters: a multicentre prospective cohort study – BMJ Quality & Safety (free)


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Mechanisms and diagnostic evaluation of persistent or recurrent angina following percutaneous coronary revascularization – European Heart Journal (free)

Summary: Angina After PCI – American College of Cardiology (free)


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Sepsis associated acute kidney injury – The BMJ (free)


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The use of diuretics in heart failure with congestion — a position statement from the Heart Failure Association of the European Society of Cardiology – European Journal of Heart Failure (free)


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Review: Scleroderma Renal Crisis

4 Jan, 2019 | 19:33h | UTC

Clinical Practice Guidelines by the Infectious Diseases Society of America: 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza – Clinical Infectious Diseases (free)

News Release: Flu is Serious for Pregnant Women and Others at High Risk: Testing and Treatment are Key, Say IDSA Guidelines (free)


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Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke – The BMJ (free)

Commentary: Guidelines Recommend Dual Antiplatelet Therapy Immediately After TIA or Minor Stroke NEJM Journal Watch (free)


Related Commentary on Twitter

Review: Confounders of Severe Asthma

5 Dec, 2018 | 00:01h | UTC

Focus on randomised clinical trials – Intensive Care Medicine (free PDF) (via @CritCareReviews)

Related: What should we stop doing in the ICU? – ICU Management & Practice (free)

“Their results add to what appears to be a constant theme in critical care, ‘less is more’ based on RCT results”


WHO Guide: Basic Emergency Care

9 Nov, 2018 | 02:44h | UTC