Trending archive
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360 articles
September 202624
Systolic blood pressure targets after successful endovascular thrombectomy: a network meta-analysis of randomized controlled trials.
This network meta-analysis evaluated the impact of different systolic blood pressure (SBP) targets on outcomes after endovascular thrombectomy in eight studies.
Efficacy of a needle-free blood collection device (PIVO Pro) for avoiding contaminated blood culture sets in Australian emergency departments: protocol for an adaptive group sequential randomised controlled trial.
This study protocol outlines a multicentre, adaptive group sequential randomised controlled trial aimed at evaluating the efficacy of the needle-free blood collection device, PIVO Pro, in reducing blood culture…
Extracorporeal cardiopulmonary resuscitation for cardiogenic shock in a Jehovah's witness.
A Jehovah's Witness patient in cardiogenic shock underwent successful resuscitation using veno-arterial extracorporeal membrane oxygenation (ECMO) without the need for blood transfusions.
Intravenous thrombolysis use before interhospital transfer for thrombectomy: a systematic review and meta-analysis.
This systematic review and meta-analysis evaluated the impact of intravenous thrombolysis (IVT) before interhospital transfer for endovascular thrombectomy (EVT) in patients with large-vessel occlusion acute ischemic…
Endovascular Treatment for Patients Aged ≥80 Years with Large Ischemic Stroke.
This randomized controlled trial evaluated the effectiveness and safety of endovascular treatment (EVT) in patients aged ≥80 years with large ischemic stroke.
Electrical Impedance Tomography-Guided Precision Nursing in an Older Patient With Septic Shock and ARDS: A Case Report.
A 79-year-old patient with septic shock, ARDS, and MODS underwent precision nursing management utilizing electrical impedance tomography (EIT).
Clinical Reasoning: An Immunocompetent Young Adult With Acute Vision Loss.
A 23-year-old male presented with worsening headaches, bilateral retrobulbar pain, and blurred vision. Evaluation indicated bilateral optic neuritis, with MRI, CSF analysis, and blood tests showing normal results except…
Migration of an ingested orthodontic retainer into the psoas muscle presenting with radiculopathy-like symptoms: A case report.
A 26-year-old man presented with abdominal pain after swallowing an orthodontic retainer. Although his abdominal pain improved, he later experienced persistent right lower-limb paresthesia and pain.
Intraosseous versus intravenous access in adult out-of-hospital cardiac arrest: a Bayesian secondary analysis of the PARAMEDIC-3 randomised controlled trial.
This pre-planned Bayesian secondary analysis of the PARAMEDIC-3 randomised controlled trial compared intraosseous-first with intravenous-first vascular access in adults with out-of-hospital cardiac arrest requiring…
AI Decision Support for Emergency Triage of Large Vessel Occlusion Using Noncontrast Computed Tomography: Systematic Review and Bayesian Diagnostic Test Accuracy Network Meta-Analysis.
This systematic review and Bayesian network meta-analysis evaluated the diagnostic accuracy of noncontrast computed tomography (NCCT)-based AI for detecting anterior circulation large vessel occlusion (LVO) compared to…
Clinical Surveillance Technologies in Nonintensive Care Unit Hospital Settings: Systematic Review and Bayesian Network Meta-Analysis of Randomized Trials.
This systematic review and Bayesian network meta-analysis evaluated the clinical effects of rule-based electronic surveillance (RB-ES), predictive model-based electronic surveillance (PM-ES), and continuous physiologic…
From dental adhesives to injectable hemostats: a scoping review of antimicrobial biomaterials for oral soft-tissue bleeding.
This scoping review examines antimicrobial biomaterials for managing oral soft-tissue bleeding, focusing on injectable materials that provide rapid hemostasis and antimicrobial protection.
Is ultra-early endoscopy always beneficial? A systematic review and meta-analysis of timing-dependent outcomes in nonvariceal upper gastrointestinal bleeding.
This systematic review and meta-analysis evaluated the impact of ultra-early endoscopy (≤6 hours) versus early endoscopy (>6 hours) on clinical outcomes in adults with nonvariceal upper gastrointestinal bleeding…
An 18-Year-Old Woman with Abdominal Pain.
An 18-year-old woman presented to the emergency department with acute abdominal pain. Through a systematic approach involving questions, physical examination, and diagnostic testing, the clinical team refined their…
Testicular torsion after prior orchiopexy in an older adult: diagnostic pitfalls and the importance of multipoint fixation.
A man in his 60s presented with acute scrotal pain on two occasions, having a history of bilateral orchiopexy due to prior testicular torsion. Despite previous surgeries, recurrent torsion was diagnosed.
Multiple organ failure following severe heat stroke complicated by AMSAN-type Guillain-Barré syndrome: a case report and literature review.
A 57-year-old man developed confusion and hyperthermia while hiking, leading to a diagnosis of severe heat stroke and subsequent multiple organ failure.
Large vessel occlusion stroke in venom-induced consumption coagulopathy after viper envenomation.
A woman in her mid-60s presented with left-sided hemiplegia 6 hours post-viper bite. Investigations revealed profound venom-induced consumption coagulopathy and an acute right middle cerebral artery occlusion.
Effect of periprocedural antithrombotic medication on functional outcome and symptomatic intracranial hemorrhage in patients with carotid tandem lesions.
This post-hoc analysis of the MR CLEAN-MED randomized controlled trial evaluated the impact of periprocedural antithrombotic medication on functional outcomes and symptomatic intracranial hemorrhage in 100 patients with…
Oxygen desaturation in patients with functional seizures: pitfalls for the unwary.
A patient with recurrent functional seizures exhibited documented oxygen desaturation, leading to extensive cardiopulmonary investigations and repeat video-electroencephalogram evaluation.
Safety and efficacy of repeated intravenous thrombolysis within 3 months for acute ischemic stroke: a systematic review and individual-patient data meta-analysis.
This systematic review and individual-patient data meta-analysis evaluated the safety and efficacy of repeated intravenous thrombolysis (RIVT) for acute ischemic stroke (AIS) within 90 days of a previous treatment.
Applications of the Early Warning Score as an outcome measure: a systematic review of methodologies.
This systematic review evaluated the use of Early Warning Scores (EWS) as outcome measures in interventional and comparative studies.
Sex-based and gender-based details in accelerated diagnostic protocol implementation among emergency department patients presenting with chest pain: a systematic review.
This systematic review evaluated the incorporation of sex and gender factors in accelerated diagnostic protocols (ADPs) for chest pain in emergency departments.
On the optimal sodium correction rate in hyponatraemia and clinical outcome: a meta-analysis.
This meta-analysis examined the impact of sodium correction rates on mortality in patients with hyponatraemia, analyzing 11 studies with 27,672 cases.
Point-of-care decision rule for antibiotic prescriptions in young children with fever without source: an open cluster randomised trial.
This open cluster randomised trial evaluated a point-of-care decision rule aimed at reducing antibiotic prescriptions in children aged 6 days to 36 months with fever without source across 25 European emergency…
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