Emergency medicine updates @emergency_medicine_updates Channel on Telegram

Emergency medicine updates

@emergency_medicine_updates

All the atest articles, research and news from worlds leading Emergency Medicine Journals.

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Emergency Medicine Updates (English)

Are you a medical professional looking to stay up to date with the latest advancements in emergency medicine? Look no further than the 'Emergency Medicine Updates' Telegram channel! This channel provides you with all the latest articles, research, and news from the world's leading Emergency Medicine Journals, ensuring that you are always in the loop with the most current information in the field. Stay ahead of the curve and enhance your knowledge and skills in emergency medicine by joining this channel today.

In addition to providing valuable updates, 'Emergency Medicine Updates' also offers a discussion group where medical professionals can engage with one another, share insights, and exchange ideas. This collaborative environment fosters learning and allows members to connect with like-minded individuals who are equally passionate about emergency medicine.

Whether you are a seasoned emergency medicine practitioner or a medical student interested in the field, this channel is the perfect resource for you. Stay informed, stay connected, and stay engaged with the 'Emergency Medicine Updates' Telegram channel. Join us today and be a part of a vibrant community dedicated to advancing emergency medicine practices and knowledge.

Emergency medicine updates

30 Nov, 18:44

Adrenal Insufficiency: NICE Guideline 2024

๐Ÿ”— Full Guidelines

๐Ÿ”น Initial Investigation: 8:00โ€“9:00 AM serum cortisol test.
๐Ÿ”น Primary Adrenal Insufficiency: Glucocorticoid + mineralocorticoid replacement.
๐Ÿ”น Secondary/Tertiary: Glucocorticoid replacement only.
๐Ÿ”น Stress Management: Sick-day dosing during illness or trauma.
๐Ÿ”น Emergency: Immediate IM/IV hydrocortisone for adrenal crisis.
๐Ÿ”น Ongoing Care: Regular specialist reviews to adjust doses and monitor symptoms.

#medicalguidelines #guidelines

@Updates_in_Medicine
352
Emergency medicine updates

30 Nov, 12:14

Long-term heart function in refractory out-of-hospital cardiac arrest treated with prehospital extracorporeal cardiopulmonary resuscitation
https://www.resuscitationjournal.com/article/S0300-9572(24)00824-4/fulltext?rss=yes

Out-of-hospital cardiac arrest (OHCA) is responsible for nearly 34,000 deaths annually in France.1 Despite advancement in cardiopulmonary resuscitation (CPR), survival rates at hospital discharge remain low.2 Most OHCAs are of cardiac origin, with acute coronary syndrome (ACS) being the leading cause.3 Refractory cardiac arrest is defined as the inability to achieve return of spontaneous circulation (ROSC) despite 20โ€“30 min of state-of-the-art CPR.4 Beyond this timeframe, the chances of survival with good neurological outcomes drop significantly.
590
Emergency medicine updates

29 Nov, 21:06

Shaping the future of simulator interactions: The role of ChatGPTโ€™s Advanced Voice Mode
https://www.resuscitationjournal.com/article/S0300-9572(24)00827-X/fulltext?rss=yes

Dear Editor,
752
Emergency medicine updates

28 Nov, 17:37

The โ€œinvisible ceilingโ€ of bystander CPR in three Asian countries: Descriptive study of national OHCA registry
https://www.resuscitationjournal.com/article/S0300-9572(24)00820-7/fulltext?rss=yes

Bystander cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) has increased in Singapore, Japan, and South Korea following the implementation of several public health, bystander-focused interventions, such as dispatcher-assisted CPR and community CPR training. It is unclear whether bystander CPR prevalence will continue on this trajectory over time. This study aimed to investigate the temporal trends of bystander CPR prevalence over a ten-year period in these three Asian countries.
1,054
Emergency medicine updates

28 Nov, 17:36

Lung parenchymal and pleural findings on computed tomography after out-of-hospital cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00821-9/fulltext?rss=yes

Lung injury and the acute respiratory distress syndrome (ARDS) are common after out-of-hospital cardiac arrest (OHCA), but the imaging characteristics of lung parenchymal and pleural abnormalities in these patients have not been well-characterized. We aimed to describe the incidence of lung parenchymal and pleural findings among patients who had return of spontaneous circulation (ROSC) and who underwent computed tomography (CT) of the chest after OHCA.
922
Emergency medicine updates

28 Nov, 10:45

Epidemiology of sepsis presentations and management among United States emergency departments from 2016 to 2023
https://onlinelibrary.wiley.com/doi/10.1111/acem.15057?af=R

Academic Emergency Medicine, EarlyView.
971
Emergency medicine updates

28 Nov, 10:44

Ruling out pulmonary embolism safely: Standardized reporting of the failure rate
https://onlinelibrary.wiley.com/doi/10.1111/acem.15055?af=R

Academic Emergency Medicine, EarlyView.
912
Emergency medicine updates

28 Nov, 10:43

Can first impressions predict patient outcomes?
https://onlinelibrary.wiley.com/doi/10.1111/acem.15053?af=R

Academic Emergency Medicine, EarlyView.
893
Emergency medicine updates

27 Nov, 18:03

Enhancing cardiac arrest response: Evaluating GPT-4oโ€™s advanced voice interaction system
https://www.resuscitationjournal.com/article/S0300-9572(24)00822-0/fulltext?rss=yes

Cardiac arrest remains a leading cause of mortality worldwide1. Immediate cardiopulmonary resuscitation (CPR) significantly enhances survival chances, yet many bystanders hesitate to perform CPR due to lack of confidence or training2. ChatGPT4o (OpenAI, San Francisco, US), equipped with Advanced Voice Interaction (AVI), offers a promising tool to guide untrained individuals through CPR in real-time3. Its AVI feature facilitates simple, real-time conversations, providing clear, step-by-step instructions during emergencies.
1,101
Emergency medicine updates

27 Nov, 12:00

After the bite: evaluating a specialized clinic for follow-up care for snake envenomation

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2425068?af=R
1,115
Emergency medicine updates

27 Nov, 11:59

A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2423834?af=R
928
Emergency medicine updates

26 Nov, 13:17

Opening invisible wounds
https://onlinelibrary.wiley.com/doi/10.1111/acem.15054?af=R

Academic Emergency Medicine, EarlyView.
1,276
Emergency medicine updates

26 Nov, 11:00

Learning from COVID-19: Does personal protective equipment impair CPR quality in Out-of-Hospital Cardiac Arrest?
https://www.resuscitationjournal.com/article/S0300-9572(24)00816-5/fulltext?rss=yes

With the passage of time, the COVID-19 pandemic is becoming a more distant memory for the healthcare systems across the globe which had to rapidly adapt, innovate and overcome the significant challenges posed in 2020 and 2021. It is essential though that the experience of this period is not forgotten. Rather this experience should be harnessed to develop more robust and resilient systems of care, thus building enhanced capacity to respond to future challenges.
1,372
Emergency medicine updates

25 Nov, 14:21

๐Ÿ†• 2024 AHA/AAP Drowning Resuscitation Update

๐Ÿ”— Full Guidelines

๐ŸŒŠ Drowning Chain of Survival
Focus on prevention, early recognition, and safe rescue.

๐Ÿซ Airway & Ventilation Priority
In drowning, airway management and oxygen are critical due to hypoxia progression.

๐ŸŠ In-Water Rescue Breathing
Safe if trained; can stop respiratory arrest from worsening.

๐Ÿซ€ CPR with Rescue Breaths
Rescue breaths recommended; start with breathing or compressions based on skill.

โšก AED Use
Useful in shockable rhythms; initiate CPR before applying AED.

๐ŸŒ Research Needs
Call for more studies, especially in low-resource settings.

#medicalguidelines #guidelines

@Updates_in_Medicine
1,144
Emergency medicine updates

25 Nov, 10:34

Failure rate of the pulmonary embolism ruleโ€out criteria rule for adults 35 years or younger: Findings from the RIETE Registry
https://onlinelibrary.wiley.com/doi/10.1111/acem.15046?af=R

Academic Emergency Medicine, EarlyView.
1,401
Emergency medicine updates

25 Nov, 08:15

Anxiety and Vomiting in Kids Undergoing Sedation in the ED
https://www.medscape.com/viewarticle/preprocedural-anxiety-and-vomiting-kids-undergoing-2024a1000lb9?src=rss

A study found no significant association between preprocedural anxiety and the incidence of vomiting among children undergoing ketamine sedation in the ED, despite higher anxiety in those who vomited.
Medscape Medical News
1,446
Emergency medicine updates

24 Nov, 19:29

Time-dependent association of grey-white ratio on early brain CT predicting outcomes after cardiac arrest at hospital discharge
https://www.resuscitationjournal.com/article/S0300-9572(24)00815-3/fulltext?rss=yes

Cerebral edema after cardiac arrest can be quantified by the ratio of grey matter to white matter radiodensity (GWR) on computed tomography (CT). Severe edema predicts worse outcomes. We hypothesized the sensitivity and false positive rate of GWR predicting outcomes change over the first 24 h post-arrest.
1,511
Emergency medicine updates

24 Nov, 10:45

Updates in Medicine on X

โฑ Perfect for busy professionals needing quick, reliable info.

๐Ÿ“ Latest research, guidelines, and tips in bite-sized posts.

๐Ÿ”” Daily, concise medical insights!

๐Ÿ‘ฉโ€โš•๏ธ Follow Updates in Medicine on X for updates you donโ€™t want to miss!

Join here ๐Ÿ‘‡
https://x.com/medic_updates
1,067
Emergency medicine updates

23 Nov, 18:02

Optimum oxygen concentration for initiation of delivery room stabilization in preterm neonates: A Randomized Controlled Trial
https://www.resuscitationjournal.com/article/S0300-9572(24)00818-9/fulltext?rss=yes

The ideal choice of initial fraction of inspired oxygen (FiO2) to stabilize preterm neonates in the delivery room (DR) is not well-established.
1,379
Emergency medicine updates

23 Nov, 15:26

Correction

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2430917?af=R
1,426
Emergency medicine updates

20 Nov, 15:01

๐Ÿ”ด 2024 AHA CPR Guidelines Update
published in Circulation (Nov 2024)

๐Ÿ”— Full Guidelines 

 โ€ข 100% FiO2 Post-Resuscitation: Maintain FiO2 at 100% until ABG results (PaO2) are available to ensure optimal oxygenation.

 โ€ข Optimal CPR Surface: Perform CPR on a firm surface for effective chest compressions.

 โ€ข Dispatcher-Assisted CPR: Updated methods to enhance OHCA recognition and timely response.

 โ€ข Feedback Devices: Reinforce quality of CPR with real-time feedback to improve patient outcomes.

#medicalguidelines #guidelines

@Updates_in_Medicine
491
Emergency medicine updates

20 Nov, 14:42

Potassium disorders at intensive care unit admission and functional outcomes after cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00814-1/fulltext?rss=yes

Abnormal serum potassium levels are commonly found in the intensive care unit (ICU) population. We aimed to determine the prevalence of potassium disorders at ICU admission and its association with functional outcomes in comatose patients resuscitated from cardiac arrest.
636
Emergency medicine updates

20 Nov, 13:29

54th ANUAL MEETING WESTERN TRAUMA ASSOCIATION

In-Person & Virtual On-Demand
registration options

MARCH 2-7, 2025 Whistler, British Columbia
www.westerntrauma.org
662
Emergency medicine updates

20 Nov, 13:28

38TH EAST ANNUAL SCIENTIFIC ASSEMBLY

JANUARY 14-18, 2025
Tucson, AZ.
www.cast.org
654
Emergency medicine updates

20 Nov, 13:28

16TH ANNUAL ADVANCES IN TRAUMA MEETING- American college of Surgeons Trailuma Sub Committee

DECEMBER 4-6, 2024
Kansas City, MO
www.AITKC.com
614
Emergency medicine updates

20 Nov, 09:06

๐Ÿ”บ Follow UPDATES IN MEDICINE on Instagram for latest tending medical updates

https://www.instagram.com/updates_in_medicine/profilecard/?igsh=eWJ2N3p2MmxvNXJ0
692
Emergency medicine updates

20 Nov, 07:23

FEATURED ARTICLES FOR CME CREDIT DECEMBER 2024

https://journals.lww.com/jtrauma/fulltext/2024/12000/featured_articles_for_cme_credit_december_2024.23.aspx
716
Emergency medicine updates

20 Nov, 07:22

MEETINGS/COURSES

https://journals.lww.com/jtrauma/fulltext/2024/12000/meetings_courses.24.aspx
690
Emergency medicine updates

19 Nov, 14:27

Ethanol for the management of alcohol withdrawal syndrome: a systematic review

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2422964?af=R
898
Emergency medicine updates

18 Nov, 19:26

Spindles of hope: A new Frontier in adult neuroprognostication following cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00813-X/fulltext?rss=yes

Historically, neurologic prognostication in the context of post-cardiac arrest care has focused on identifying patients with minimal to no potential for neurological recovery after return of spontaneous circulation, which usually led to withdrawal of life-sustaining treatment (WLST) protocols.1 Without effective interventions to improve outcome for such patients, this was an acceptable approach for decades.2 However, an inherent limitation to this approach is the self-fulfilling prophecy, which is directed at predicting poor outcomes and inadvertently contributes to the persistence of poor outcomes, high mortality rates, and even failure of early randomized clinical trials.
960
Emergency medicine updates

18 Nov, 14:57

Consent to advanced imaging in antenatal pulmonary embolism diagnostics: Prevalence, outcomes of nonconsent and opportunities to mitigate delayed diagnosis risk
https://onlinelibrary.wiley.com/doi/10.1111/acem.15045?af=R

Academic Emergency Medicine, EarlyView.
945
Emergency medicine updates

18 Nov, 07:46

Frequent ED Visits and Risk for Severe Maternal Morbidity
https://www.medscape.com/viewarticle/higher-emergency-care-use-during-pregnancy-associated-risk-2024a1000ku4?src=rss

In a cohort study in the United States, high rates of emergency department visits during pregnancy were associated with an increased risk for severe maternal morbidity at the time of birth.
Medscape Medical News
1,055
Emergency medicine updates

18 Nov, 07:46

Workplace Violence Common in Urban EDs
https://www.medscape.com/viewarticle/workplace-violence-common-among-healthcare-workers-urban-2024a1000krc?src=rss

Workplace violence was found to be common and underreported among healthcare workers, especially nurses and younger staff in urban EDs, with incidents often involving gender- or race-related bias.
Medscape Medical News
1,070
Emergency medicine updates

18 Nov, 07:42

Brain Recovery and Survival After Cardiac Arrest
https://www.medscape.com/viewarticle/brain-recovery-discharge-predicts-survival-after-cardiac-2024a1000klb?src=rss

Cardiac arrest survivors with complete neurologic recovery had significantly higher 5-year survival rates than those with moderate or severe neurologic disabilities, found a study.
Medscape Medical News
907
Emergency medicine updates

16 Nov, 15:25

โ€‹โ€‹๐Ÿ”ด GOLD 2025 COPD Guideline Updates

The 2025 GOLD guidelines for COPD management have been released.

๐Ÿ”น Triple Therapy: Start LAMA, LABA, and ICS for eosinophilic COPD at 1st hospital admission.

๐Ÿ”น New Figures: Added on bronchodilator spirometry, LABA+ICS management, & PH-COPD traits.

๐Ÿ”น Updated Figures: Vaccination, follow-up treatment, and interventions now include ensifentrine & dupilumab.

๐Ÿ”น Lung Function Monitoring: New spirometry tracking tool.

๐Ÿ”น New Sections: Dysbiosis, cardiovascular risk, climate change & COPD.

๐Ÿ”น Vaccination: Aligned with CDC updates.

๐Ÿ”น Pulmonary Rehabilitation: In-person vs. virtual updates added.

๐Ÿ”น COVID-19 Chapter removed.


#medicalguidelines #guidelines

@Updates_in_Medicine
1,207
Emergency medicine updates

15 Nov, 19:41

All hands to the scopes โ€“ Time to rethink airway management in out of hospital cardiac arrest?
https://www.resuscitationjournal.com/article/S0300-9572(24)00809-8/fulltext?rss=yes

The optimum advanced airway management during out of hospital cardiac arrest (OHCA) remains unknown with limited high-quality evidence to support either supraglottic airway devices (SAD) or endotracheal intubation(ETI).1 Endotracheal intubation has been used in resuscitation practices for over 200 years.2 With the advent of the cuffed endotracheal tube spectacularly demonstrated by Guedel using his pet dog in the 1920โ€ฒs providing protection against aspiration of gastric contents and a more reliable delivery of ventilation.
1,445
Emergency medicine updates

14 Nov, 23:56

Video laryngoscopy versus fiberoptic bronchoscopy for awake tracheal intubation
https://onlinelibrary.wiley.com/doi/10.1111/acem.15051?af=R

Academic Emergency Medicine, EarlyView.
1,849
Emergency medicine updates

14 Nov, 13:08

2024 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces
https://www.resuscitationjournal.com/article/S0300-9572(24)00308-3/fulltext?rss=yes

This is the eighth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recent published resuscitation evidence reviewed by the International Liaison Committee on Resuscitation task force science experts. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, using Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations.
1,789
Emergency medicine updates

14 Nov, 11:53

๐Ÿฉบ AHA Guidelines on Managing Elevated BP in Acute Care

๐Ÿ”— Full Guidelines 

๐Ÿ”น No Routine Treatment
The AHA advises against routine antihypertensive treatment for asymptomatic elevated BP in acute settings.

๐Ÿ”น Prioritise Hypertensive Emergencies
Immediate intervention is recommended only for cases with signs of target organ damage.

๐Ÿ”น Accurate Measurement Matters
Ensure proper BP measurement technique and device calibration to prevent misreadings.

๐Ÿ”น Plan for Outpatient Follow-Up
Restart home BP medications as appropriate and arrange outpatient follow-up for sustained care.

#medicalguidelines #guidelines

@Updates_in_Medicine
1,044
Emergency medicine updates

13 Nov, 17:04

Issue Information
https://onlinelibrary.wiley.com/doi/10.1111/acem.14531?af=R

Academic Emergency Medicine, Volume 31, Issue 11, Page 1083-1088, November 2024.
1,360
Emergency medicine updates

13 Nov, 15:35

Drug therapy versus placebo or usual care for comatose survivors of cardiac arrest; a systematic review with meta-analysis
https://www.resuscitationjournal.com/article/S0300-9572(24)00806-2/fulltext?rss=yes

In Europe, 148,000 patients suffer an out-of-hospital cardiac arrest (OHCA) annually.1 Approximately 143,000 of the 89.4 m hospital admissions in Europe each year suffer an in hospital cardiac arrest (IHCA).2 Despite critical care therapy, hospital mortality in this cohort remains high; 56.2 % and 63 % following OHCA and IHCA, respectively.3โ€“4 In ICU, two thirds of deaths are primarily related to hypoxic ischaemic brain injury and one third primarily related to cardiovascular instability or multi-organ failure.
1,126
Emergency medicine updates

12 Nov, 13:50

Trends in cardiac arrest outcomes & management in children with cardiac illness category compared to non-cardiac illness category: An analysis from the AHA get with the guidelinesยฎ-resuscitation registry
https://www.resuscitationjournal.com/article/S0300-9572(24)00805-0/fulltext?rss=yes

Contemporary rates of survival after pediatric in-hospital CPR events and trends in survival over the last 20 years have not been compared based on illness category. We hypothesized that survival to hospital discharge for surgical-cardiac category is higher than the non-cardiac category, and rates of survival after in-hospital CPR increased over time in all categories.
1,313
Emergency medicine updates

12 Nov, 13:49

Intra-aortic balloon pump synchronized with chest compressions improves outcome during cardiopulmonary resuscitation in experimental cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00808-6/fulltext?rss=yes

Increasing coronary and cerebral perfusion during cardiopulmonary resuscitation (CPR) is a cornerstone in increasing survival with good neurological outcome in the non-traumatic cardiac arrest patient.1 Besides chest compressions, adrenaline is the only treatment option used to enhance the circulation during CPR and without convincing evidence.2 It has been suggested that Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA),1 used in trauma settings, could be incorporated in the management of NTCA.
1,122
Emergency medicine updates

12 Nov, 11:52

A 10-year retrospective review of exposures to volatile nitrites reported to the Victorian Poisons Information Centre

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2423832?af=R
1,084
Emergency medicine updates

11 Nov, 19:37

Many Patients With Cancer Visit EDs Before Diagnosis
https://www.medscape.com/viewarticle/many-patients-cancer-visit-eds-before-diagnosis-2024a1000kht?src=rss

About 35% of patients diagnosed with cancer in Ontario had previously visited an emergency department, raising questions about access to routine care and oncology services.
Medscape Medical News
1,162
Emergency medicine updates

11 Nov, 13:41

Observational studies and causal questions in resuscitation researchโ€“ lessons from vascular access studies
https://www.resuscitationjournal.com/article/S0300-9572(24)00807-4/fulltext?rss=yes

The importance of vascular access type during cardiac arrest has gained increased interest in recent years and the intraosseous route is increasingly being used.1โ€“2 Several observational studies comparing outcomes in patients according to the type of vascular access has been published. The recent publication of two large randomized clinical trials provides an opportunity to compare the results from the observational studies with the results from these trials.3โ€“4.
1,339
Emergency medicine updates

08 Nov, 12:22

escharotomies
https://onlinelibrary.wiley.com/doi/10.1111/acem.15048?af=R

Academic Emergency Medicine, EarlyView.
1,867
Emergency medicine updates

08 Nov, 11:57

DIRECT-MT Trial Findings on Stroke Treatment ๐Ÿง 

๐Ÿ”น IV Thrombolysis for Stroke
Guidelines recommend IV thrombolysis within 4.5 hours for eligible stroke patients who are also candidates for mechanical thrombectomy.

๐Ÿ”น Enhanced Outcomes
Improves functional outcomes and may lower mortality when given early.

๐Ÿ”น Shared Decision-Making
Discuss risks and benefits of IV thrombolysis with patients or surrogates before thrombectomy.

๐Ÿ”น Conclusions
IV thrombolysis remains critical in optimising emergency stroke care


FULL GUIDELINES


#medicalguidelines #guidelines #medicalresearch
1,947
Emergency medicine updates

07 Nov, 19:00

Association of hyperosmolar therapy with cerebral oxygen extraction after cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00804-9/fulltext?rss=yes

Elevated jugular bulb venous oxygen saturation (SjvO2) after cardiac arrest may be due to diffusion-limited oxygen extraction secondary to perivascular edema. Treatment with hyperosmolar solution (HTS) may decrease this edema and thus the barrier to oxygen diffusion. Alternatively, SjvO2 may rise when cerebral metabolic rate declines due to irreversible cellular injury, which would not be affected by HTS. Electroencephalography (EEG) may differentiate between these etiologies of elevated SjvO2. We hypothesized SjvO2 would be lower after treatment with HTS and EEG could identify treatment responders.
1,548
Emergency medicine updates

07 Nov, 14:55

โšซ๏ธ Hyponatremia Management Gaps Uncovered!

A recent study from the Hyponatremia Registry, published in Kidney International, highlighted numerous flaws in the management of hyponatremia in hospitalised patients.

https://www.kidney-international.org/article/S2157-1716(15)32142-0/fulltext

๐Ÿ”น Study Overview
Included 3,087 hyponatremic patients from US and EU hospitals.

๐Ÿ”น Common Treatments

 โ€ข Fluid restriction (35%)
 โ€ข Isotonic saline (15%)
 โ€ข Hypertonic saline (2%)
 โ€ข Tolvaptan (5%)

๐Ÿ”น Key Findings

 โ€ข Fluid restriction was most used but largely ineffective, with only modest sodium increases.
 โ€ข Hypertonic saline and tolvaptan worked better but risked rapid overcorrection.
 โ€ข 78% were discharged with unresolved hyponatremia, indicating limited treatment success.

๐Ÿ”น Conclusions
Standardised guidelines and effective therapy options are needed to improve outcomes and prevent overcorrection risks.

#medicalresearch


@Updates_in_Medicine
1,253
Emergency medicine updates

07 Nov, 07:50

The association between intra-arrest arterial blood pressure and return of spontaneous circulation in out-of-hospital cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00801-3/fulltext?rss=yes

The optimal haemodynamic parameter for goal-directed resuscitation in out-of-hospital cardiac arrest (OHCA) remains uncertain. This study aimed to characterise the association between invasive blood pressure (IBP) measurements and return of spontaneous circulation (ROSC) in adult OHCA patients, to identify this parameter.
1,468
Emergency medicine updates

04 Nov, 10:56

Implications of inadequate communication: Emergency care for deaf and hardโ€ofโ€hearing patients
https://onlinelibrary.wiley.com/doi/10.1111/acem.15040?af=R

Academic Emergency Medicine, EarlyView.
285
Emergency medicine updates

02 Nov, 10:32

Failure rate of Dโ€dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of three European studies
https://onlinelibrary.wiley.com/doi/10.1111/acem.15032?af=R

Academic Emergency Medicine, EarlyView.
750
Emergency medicine updates

02 Nov, 10:31

Miles to go before we sleep: Does increasing abdominal computed tomography utilization really improve patientโ€oriented outcomes?
https://onlinelibrary.wiley.com/doi/10.1111/acem.15042?af=R

Academic Emergency Medicine, EarlyView.
746
Emergency medicine updates

01 Nov, 15:41

Reported recreational drug and new psychoactive substance use versus laboratory detection of substances by high-resolution mass spectrometry in patients presenting to an emergency department in London with acute drug toxicity

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2402070?af=R
907
Emergency medicine updates

01 Nov, 15:40

Severe food-induced methaemoglobinaemia

https://www.tandfonline.com/doi/full/10.1080/15563650.2024.2418982?af=R
663
Emergency medicine updates

01 Nov, 08:21

Communication barriers to optimal access to emergency rooms according to deaf and hardโ€ofโ€hearing patients and health care workers: A mixedโ€methods study
https://onlinelibrary.wiley.com/doi/10.1111/acem.15037?af=R

Academic Emergency Medicine, EarlyView.
746
Emergency medicine updates

31 Oct, 11:42

ED Visits Before and After Dementia Diagnosis
https://www.medscape.com/viewarticle/emergency-department-visits-show-distinct-pattern-around-2024a1000jt4?src=rss

A recent study revealed a significant increase in emergency department visits both before and after a diagnosis of incident dementia among Medicare beneficiaries in the United States.
864
Emergency medicine updates

30 Oct, 09:50

122 Filling in the gaps in first aid knowledge among Romaniaโ€™s general population
https://www.resuscitationjournal.com/article/S0300-9572(24)00433-7/fulltext?rss=yes
1,101
Emergency medicine updates

30 Oct, 09:49

222 Characteristics of patients with unwitnessed out-of-hospital cardiac arrest: the BECA project
https://www.resuscitationjournal.com/article/S0300-9572(24)00529-X/fulltext?rss=yes
998
Emergency medicine updates

30 Oct, 09:48

190 Mechanical circulatory support (MCS) use in resuscitated cardiogenic shock patients
https://www.resuscitationjournal.com/article/S0300-9572(24)00497-0/fulltext?rss=yes
971
Emergency medicine updates

30 Oct, 09:47

311 Removing Surrogates' Uncertainty to Reduce Fear and Anxiety after Cardiac Events (RESURFACE): A Randomized Pilot Intervention Study
https://www.resuscitationjournal.com/article/S0300-9572(24)00321-6/fulltext?rss=yes
854
Emergency medicine updates

30 Oct, 09:46

254 Interest of learning technical gestures by the simulation method in emergency nurses
https://www.resuscitationjournal.com/article/S0300-9572(24)00561-6/fulltext?rss=yes
783
Emergency medicine updates

30 Oct, 09:45

Contents
https://www.resuscitationjournal.com/article/S0300-9572(24)00319-8/fulltext?rss=yes
702
Emergency medicine updates

30 Oct, 09:44

22 Impact of a Nationwide Stepped-Wedge Implementation Trial of Automated External Defibrillators Bundled with Training of Smartphone Activated Volunteers in Residential Areas on Out-of-Hospital Cardiac Arrests
https://www.resuscitationjournal.com/article/S0300-9572(24)00320-4/fulltext?rss=yes
650
Emergency medicine updates

30 Oct, 09:43

Copyright Page
https://www.resuscitationjournal.com/article/S0300-9572(24)00318-6/fulltext?rss=yes
607
Emergency medicine updates

30 Oct, 09:42

European Resuscitation Council
https://www.resuscitationjournal.com/article/S0300-9572(24)00317-4/fulltext?rss=yes
569
Emergency medicine updates

30 Oct, 09:41

Title Page
https://www.resuscitationjournal.com/article/S0300-9572(24)00316-2/fulltext?rss=yes
539
Emergency medicine updates

30 Oct, 09:40

287 Bystander witnessed out-of-hospital cardiac arrest in infants & pre-school children in Ireland
https://www.resuscitationjournal.com/article/S0300-9572(24)00593-8/fulltext?rss=yes
561
Emergency medicine updates

30 Oct, 09:39

315 Disruptions in Sleep Quality and Associations with Psychological Distress in Close Family Members of Cardiac Arrest Survivors: A Prospective Study
https://www.resuscitationjournal.com/article/S0300-9572(24)00322-8/fulltext?rss=yes
493
Emergency medicine updates

30 Oct, 09:38

270 Early detection of deterioration in trauma patients using arterialline monitoring in the emergency department
https://www.resuscitationjournal.com/article/S0300-9572(24)00577-X/fulltext?rss=yes
435
Emergency medicine updates

30 Oct, 09:37

335 Prospective Validation of the MIRACLE2 Score โ€“ Insights from the International Multi-centre GLOBAL-MIRACLE Registry
https://www.resuscitationjournal.com/article/S0300-9572(24)00323-X/fulltext?rss=yes
294

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