Trending archive
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360 articles
December 20252
Point-of-Care Ultrasound in Japanese Mamushi ( Gloydius blomhoffii ) Bites: Presence of Deep Subcutaneous Hypoechoic Bands.
Three children aged 7–9 years presented with clinically diagnosed Japanese mamushi bites to the fingers and Grade III envenomation, with swelling extending to the elbow.
Transfusion After Femur Fracture in a Cave.
A 54-year-old man sustained an open femur fracture and head injury after slipping deep inside a cave. Companions controlled bleeding with direct pressure and improvised a splint, then called for help.
November 20254
Impact of subthreshold troponin levels and temporal trends on short term adverse cardiovascular outcomes in patients discharged from the emergency department: a RACE-IT trial substudy.
This post-hoc analysis of the RACE-IT stepped-wedge randomized controlled trial examined whether subthreshold high-sensitivity troponin I levels and their changes were associated with 30-day outcomes among patients with…
Comparison of inhalational methoxyflurane, intranasal fentanyl, and intravenous morphine for treatment of prehospital acute pain in Norway (PreMeFen): a randomised, non-inferiority, three-arm, phase 3 trial.
PreMeFen was a randomised, open-label, three-arm phase 3 non-inferiority trial in Norwegian ambulance services, comparing inhaled methoxyflurane with intranasal fentanyl and intravenous morphine for acute traumatic or…
Portuguese Man-o'-war ( Physalia physalis ) Envenomation in a Child: First Confirmed Case in Malaysia.
A 9-year-old boy developed sudden, intense burning pain in his right forearm after being stung while swimming off Labuan Island.
Oleander poisoning: Two cases with contrasting cardiac presentations.
Two family members presented after intentionally ingesting oleander leaves as a food source. The report describes differing cardiac presentations in the two patients, with oleander toxicity diagnosed and both patients…
October 20252
Defining and Managing End-of-Life Respiratory Changes in Adult Home Hospice Patients: A Systematic Review.
End-of-life respiratory changes-agonal breathing, Cheyne-Stokes breathing, and death rattle/noisy breathing-are common in home hospice settings, impacting patient comfort, caregiver distress, and quality of care.
Intranasal Versus Subcutaneous Ketamine for the Treatment of Acute Traumatic Pain in the Emergency Department: A Randomized Clinical Trial.
This randomized, double-blinded, double-dummy trial compared 20 mg subcutaneous with 20 mg intranasal ketamine in adults aged 18 to 65 years presenting to an emergency department with acute musculoskeletal trauma and…
September 20256
Safety outcomes in endovascular treatment versus best medical management for basilar artery occlusion acute ischemic stroke: A systematic review and meta-analysis of randomized trials.
This systematic review and meta-analysis pooled four randomized controlled trials comparing endovascular therapy (EVT) with best medical management (BMM) for acute ischemic stroke due to basilar artery occlusion.
Intraprocedural cangrelor during mechanical thrombectomy for acute ischemic stroke: a systematic review and single-arm meta-analysis.
This systematic review and single-arm meta-analysis assessed intraprocedural intravenous cangrelor during mechanical thrombectomy in adults with acute ischemic stroke.
VV-ECMO as a lifesaving measure for refractory bronchospasm in anaphylactic shock: A case report.
A 32-year-old individual developed food-induced anaphylaxis with profound bronchospasm and respiratory failure. The bronchospasm did not respond to first- or second-line therapies, and severe hypoxemia and hypercapnia…
Distal versus proximal guide catheter placement on the safety and efficacy of mechanical thrombectomy for acute ischemic stroke in anterior circulation: A systematic review and meta-analysis.
This systematic review and meta-analysis pooled seven retrospective comparative studies of 2,148 adults undergoing mechanical thrombectomy for anterior-circulation large-vessel-occlusion stroke.
Targeted Temperature Management Strategies in Pediatric Patients with Return of Spontaneous Circulation after Out-of-Hospital Cardiac Arrest: A Grading of Recommendations, Assessment, Development, and Evaluation-Assessed Systematic Review and Meta-Analysis.
This GRADE-assessed systematic review and meta-analysis evaluated targeted temperature management after out-of-hospital cardiac arrest in children, including nine studies and 2107 patients.
Endovascular thrombectomy versus medical management for basilar artery occlusion stroke with mild neurological deficit - results from the BASILAR registry.
This comparative analysis examined endovascular thrombectomy (EVT) plus medical management versus medical management alone in acute basilar artery occlusion with mild neurological deficits (NIHSS ≤10).
August 20252
Predictive Validity of Violence Screening Tools in Emergency and Psychiatric Services: A Systematic Review.
This systematic review assessed the predictive validity of tools used to screen for violence toward healthcare workers in emergency and psychiatric services.
Intra-arterial thrombolysis after successful endovascular reperfusion for large vessel occlusion stroke: A meta-analysis of randomized seven controlled trials.
This systematic review and meta-analysis compared intra-arterial thrombolysis (IAT) with placebo after successful endovascular recanalization for acute ischemic stroke due to large-vessel occlusion.
June 20251
May 20253
The impact of anesthesia choice during thrombectomy for distal and medium vessel occlusions: A systematic review and meta-analysis.
This systematic review and meta-analysis compared general anesthesia (GA) with non-GA approaches during endovascular thrombectomy for distal and medium vessel occlusions.
Post-thrombectomy rehabilitation strategies and 90-day outcomes in acute ischemic stroke patients enrolled in randomized controlled trials: A systematic review and meta-analysis.
This systematic review and meta-analysis examined post-thrombectomy rehabilitation strategies and 90-day functional outcomes across 23 randomized controlled trials involving 6,649 patients with acute ischemic stroke.
Prognosis of Patients with Lung Cancer Admitted to the Intensive Care Unit: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis examined ICU, hospital and longer-term outcomes, and mortality predictors, among critically ill patients with lung cancer.
November 20241
September 20241
August 20241
February 20241
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