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Total 34927 results found since Jan 2013.

Pathophysiologic differences in cerebral autoregulation after subarachnoid hemorrhage
Conclusions: The extent and nature of impairment in autoregulation accurately predicts neurologic complications on an individual patient level, and suggests potentially differential impairments in underlying physiologic mechanisms. A better understanding of these can lead to targeted interventions to mitigate neurologic morbidity.
Source: Neurology - May 22, 2016 Category: Neurology Authors: Santos, G. A., Petersen, N., Zamani, A. A., Du, R., LaRose, S., Monk, A., Sorond, F. A., Tan, C. O. Tags: Ultrasound, Critical care, Subarachnoid hemorrhage ARTICLE Source Type: research

Delayed severe abciximab-induced thrombocytopenia: A case report
Conclusion Although specific mechanisms of abciximab-related thrombocytopenia are still unclear and the management is not well established, the patient responded well to the therapy and his recovery was uneventful.
Source: Heart and Lung: The Journal of Acute and Critical Care - September 21, 2016 Category: Respiratory Medicine Source Type: research

Optical coherence tomography angiography in intensive care medicine : A  new field of application?
CONCLUSION: The non-invasive technique of OCTA is a promising measurement method to enable bedside analysis of the microcirculation in critically ill paients in the future; however, some technical limitations must still be overcome. PMID: 31139886 [PubMed - as supplied by publisher]
Source: Der Ophthalmologe - May 27, 2019 Category: Opthalmology Authors: Hessler M, Lehmann F, Arnemann PH, Eter N, Ertmer C, Alnawaiseh M Tags: Ophthalmologe Source Type: research

Trading scalpels for sheaths: Catheter-based treatment of vascular injury can be effectively performed by acute care surgeons trained in endovascular techniques
CONCLUSION: ACSTEV can safely treat TVI with good success. We performed nearly 10 procedures per month underscoring the role of the ACSTEV for training and care of TVI in a high-volume trauma center. LEVEL OF EVIDENCE: Therapeutic study, level V.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - April 22, 2016 Category: Orthopaedics Tags: Original Articles Source Type: research

Prospective observational study of mechanical cardiopulmonary resuscitation, extracorporeal membrane oxygenation and early reperfusion for refractory cardiac arrest in Sydney: the 2CHEER study.
CONCLUSION: ECMO for refractory cardiac arrest shows promising survival rates if protocolised care is applied in conjunction with predefined selection criteria. PMID: 32102640 [PubMed - in process]
Source: Critical Care and Resuscitation - February 28, 2020 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Coronary artery disease in patients clinically diagnosed with myocardial infarction in the medical intensive care unit
Conclusion: Coronary angiography in critically ill patients should only be performed in highly selected patients with predicting factors for CAD.
Source: Journal of Critical Care - February 20, 2013 Category: Intensive Care Authors: Yousang Ko, Chi-Min Park, Wooyoul Kim, Byeong-Ho Jeong, Gee Young Suh, So Yeon Lim, O Jung Kwon, Kyeongman Jeon Tags: Electronic Articles Source Type: research

Massive gastrointestinal hemorrhage as a complication of the flexi-seal fecal management system.
Abstract Use of the Flexi-Seal fecal management system, a safe and effective means of fecal diversion in patients with fecal incontinence and diarrhea, can be associated with rare, life-threatening complications. For example, a critically ill patient had 2 episodes of massive rectal bleeding associated with use of the system that required transfusion of blood products. Hemorrhage was controlled during the first episode by angiography with selective coil embolization; the second required colonoscopy with suture ligation of the affected lesion. A literature review revealed 9 other cases that were managed endoscopica...
Source: American Journal of Critical Care - November 1, 2013 Category: Nursing Authors: Mulhall AM, Jindal SK Tags: Am J Crit Care Source Type: research

A randomised controlled trial of induced hypermagnesaemia following aneurysmal subarachnoid haemorrhage.
CONCLUSION: Patients assigned a higher serum magnesium concentration had a reduced incidence of vasospasm as seen by angiography, but the difference was not statistically significant. Clinically significant outcomes were not different between groups. A firm recommendation for induced hypermagnesaemia cannot be made from this study. TRIAL REGISTRATION NUMBER: ACTRN12605000058673. PMID: 23931043 [PubMed - indexed for MEDLINE]
Source: Critical Care and Resuscitation - November 25, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Computed tomography pulmonary angiogram as a result of medical emergency team calls: a 5-year retrospective audit.
CONCLUSION: Clinical decision rules and MET indications were not significantly associated with the presence of PE on CTPA. However, an abnormal chest x-ray has a high negative predictive value and therefore may be helpful in preventing unnecessary CTPAs. PMID: 25437222 [PubMed - in process]
Source: Critical Care and Resuscitation - December 6, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Point of Care Echocardiography in an Acute Thoracic Dissection  with Tamponade in a Young Man with Chest Pain, Tachycardia, and Fever
Although thoracic aortic dissections are uncommon in young patients, they must be considered in the differential diagnosis in the presence of chest pain and abnormal vital signs. Although computed tomography angiography is the test of choice for thoracic dissection in the emergency department, point of care (POC) transthoracic echocardiography has a high specificity in the diagnosis of this disease. It is especially helpful in patients with proximal ascending dissections in the presence of a pericardial effusion.
Source: The Journal of Emergency Medicine - August 29, 2016 Category: Emergency Medicine Authors: Kristin Carmody, Michael Asaly, Uch é Blackstock Tags: Ultrasound in Emergency Medicine Source Type: research

Point-Of-Care Ultrasound Diagnosis of Medial Plantar Artery Pseudoaneurysm Secondary to Penetrating Injury
Pseudoaneurysms of the foot are rare and can occur from a range of etiologies, including laceration from a foreign body. The majority of reported cases have been diagnosed by computed tomography, magnetic resonance imaging, or angiography. These tests require intravenous access and contrast, confer radiation, take time to perform and interpret, are expensive, and are not always readily available in the acute setting. No prior reported pseudoaneurysms of the foot have been diagnosed by point-of-care ultrasound (POCUS).
Source: The Journal of Emergency Medicine - March 30, 2020 Category: Emergency Medicine Authors: Stephen Alerhand, Mariya Cherneykina, Helen S. Wei, Robert L. Barricella Tags: Ultrasound in Emergency Medicine Source Type: research

Diagnosis of a Large Type-A Aortic Dissection Using Point-of-Care Ultrasound
Aortic dissection is a time-sensitive diagnosis with high morbidity and mortality that remains difficult to diagnose in the emergency department, especially in patients without classic symptoms, such as ripping or tearing chest pain, pulse deficits, or hypotension. In these patients, definitive imaging, such as computed tomography (CT) angiogram, may be delayed. Undiagnosed acute aortic dissection can carry an associated mortality rate of 1% to 2% per hour immediately after symptom onset. It is therefore important for the emergency medicine provider to broaden their diagnostic “toolbox” to improve the speed of diagnosi...
Source: The Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Authors: Alexander W. Wisbeck, Steven M. Field, Michael C. Cooper Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Art care: A multi-modality coronary 3D reconstruction and hemodynamic status assessment software.
CONCLUSIONS: In this study, we have presented a user-friendly software for the 3D reconstruction of coronary arterial segments and the accurate hemodynamic assessment of the severity of existing stenosis. PMID: 29060945 [PubMed - as supplied by publisher]
Source: Technology and Health Care - October 13, 2017 Category: Medical Devices Authors: Siogkas PK, Stefanou KA, Athanasiou LS, Papafaklis MI, Michalis LK, Fotiadis DI Tags: Technol Health Care Source Type: research

The LITFL Review 090
Welcome to the global 90th edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week Top spot this week is given to The Trauma Professional’s Blog, each week  Michael provides us with fascinati...
Source: Life in the Fast Lane - January 10, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health LITFL review LITFL R/V Source Type: blogs