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360 articles

July 202624

Clinical ResearchEmergency MedicineOpen access

Persistent tissue hypoperfusion improves risk stratification beyond vasopressor dose in refractory septic shock: a secondary analysis of the ANDROMEDA-SHOCK-2 trial.

This secondary analysis of the ANDROMEDA-SHOCK-2 trial evaluated whether integrating persistent tissue hypoperfusion with vasopressor dose enhances mortality risk stratification in patients with refractory septic shock.

Intensive Care MedJul 15, 2026Read summary
Case ReportCardiology

Transient pseudo-P pulmonale unmasking cardiopulmonary interactions in cardiogenic shock.

A 70-year-old male presented with cardiogenic shock and elevated D-dimer levels after thrombolysis, initially raising suspicion for massive pulmonary embolism.

J ElectrocardiolJul 14, 2026Read case
Clinical ResearchEmergency MedicineOpen access

Effects of Fomepizole on Acetaminophen Oxidative Metabolism: A Randomized, Crossover Study in Human Volunteers.

This randomized crossover study evaluated the effects of fomepizole on NAPQI formation in healthy volunteers after acetaminophen overdose.

Clin Pharmacol TherJul 14, 2026Read summary
Clinical ResearchPediatricsOpen access

Effectiveness of Family-Focused End of Life and Bereavement Interventions Across Neonatal, Paediatric, and Adult Intensive Care: An Overview of Reviews.

This overview of reviews examined the effectiveness of family-focused end-of-life and bereavement interventions in neonatal, paediatric, and adult ICUs.

J Clin NursJul 14, 2026Read summary
Case ReportNeurosurgery

Penetrating thoracic spinal cord injury caused by a wooden fragment after a ground-level fall: A case report.

An elderly man sustained complete paraplegia after a wooden fragment from a shoji screen penetrated his back during a ground-level fall.

Am J Emerg MedJul 13, 2026Read case
Clinical ResearchNeurologyOpen access

Endovascular Treatment for Acute Ischemic Stroke: A Methodological Systematic Review of Health Economic Decision Modeling Studies.

This systematic review evaluated the methodological quality of health economic decision modeling studies on endovascular treatment for acute ischemic strokes.

PharmacoeconomicsJul 13, 2026Read summary
Clinical ResearchPulmonology

Effectiveness of short-acting beta-2 agonists delivered by metered-dose inhaler with spacer versus nebulizer in acute asthma exacerbations: a systematic review and meta-analysis.

This systematic review and meta-analysis compared short-acting beta-2 agonists delivered by metered-dose inhaler (MDI) with spacer versus nebulizer for acute asthma exacerbations.

J AsthmaJul 13, 2026Read summary
Clinical ResearchPulmonology

Factors associated with intensive care professionals' ability to identify patient-ventilator asynchronies: A systematic review and meta-analysis.

This systematic review and meta-analysis examined factors influencing intensive care professionals' ability to identify patient-ventilator asynchronies, analyzing data from 12 studies with 4823 participants.

Intensive Crit Care NursJul 12, 2026Read summary
Clinical ResearchEmergency Medicine

Analgesia for Awake Internal Jugular Vein Cannulation in Trauma Emergency Bay: A Randomized Comparison of Ultrasound-Guided Superficial Cervical Plexus Block With Local Infiltration.

This randomized controlled trial evaluated the effectiveness of ultrasound-guided superficial cervical plexus block (SCPB) versus local infiltration for analgesia during internal jugular vein cannulation in 60 awake…

J Emerg MedJul 12, 2026Read summary
Clinical ResearchAnesthesiology

Volume-controlled ventilation versus pressure-controlled ventilation with volume guarantee in emergency surgery: A randomized controlled trial.

This randomized controlled trial evaluated the effects of pressure-controlled ventilation with volume guarantee versus volume-controlled ventilation in 106 adults undergoing emergency laparotomy.

SurgeryJul 11, 2026Read summary
Case ReportEmergency Medicine

Pneumocephalus Without Visible Fracture Preceding Subdural Empyema: A Delayed Emergency Department Diagnosis.

A 16-year-old male presented to the emergency department after minor blunt frontal trauma. Initial cranial CT showed no fractures or acute pathology, leading to his discharge.

J Emerg MedJul 11, 2026Read case
Case ReportUrology

Ketamine-induced cystitis: Lessons from a case of recreational use.

A 56-year-old male with a history of recreational ketamine use presented with severe suprapubic pain, dysuria, urinary frequency, and hematuria. Initial treatments for suspected urinary tract infection were ineffective.

J Am Pharm Assoc (2003)Jul 10, 2026Read case
Case ReportCardiologyOpen access

Consecutive Emergency Carotid Artery Stenting and Transcatheter Aortic Valve Replacement in a Patient With Cardiogenic Shock: A Case Report.

An 83-year-old female with severe aortic stenosis and cardiogenic shock presented with severe right internal carotid artery stenosis and left internal carotid artery occlusion.

Catheter Cardiovasc IntervJul 10, 2026Read case
Case ReportOrthopedic SurgeryOpen access

Acute atraumatic compartment syndrome of the foot.

A 32-year-old male presented with severe foot pain and swelling 24 hours after playing barefoot in an indoor park, without any history of injury.

Skeletal RadiolJul 10, 2026Read case
Clinical ResearchEmergency Medicine

Prevalence of burnout and associated moderator factors among emergency medical services personnel: a meta-analysis.

This meta-analysis examined the prevalence of burnout among 32,841 emergency medical services (EMS) personnel, including paramedics and EMTs.

Eur J Emerg MedJul 9, 2026Read summary
Case ReportCardiology

A 33-Year Old with Wide Complex Tachycardia.

A 33-year-old woman presented to the emergency department (ED) with dizziness and palpitations and was found to be in wide complex tachycardia.

Card Electrophysiol ClinJul 9, 2026Read case
Case ReportEmergency Medicine

Diethylene glycol poisoning identified in the emergency department: A case report.

A patient presented to the emergency department after intentionally ingesting brake fluid, leading to diethylene glycol (DEG) toxicity. The clinical presentation included severe metabolic acidosis and renal injury.

Am J Emerg MedJul 8, 2026Read case
Clinical ResearchEmergency Medicine

Fatal amlodypine overdose: forensic and clinical features - a systematic review.

This systematic review analyzed 17 cases of fatal amlodipine overdose, primarily involving middle-aged men, with most incidents classified as suicides. The average age of the individuals was 43.8 years.

Leg Med (Tokyo)Jul 8, 2026Read summary
Case ReportCardiologyOpen access

Catheter Thrombectomy of Massive Pulmonary Embolism Secondary to Spongostan Embolisation: A Case Report.

A 7-year-old boy developed massive pulmonary embolism (PE) following the embolisation of hemostatic agents during neurosurgery. He required venoarterial extracorporeal membrane oxygenation (ECMO) support.

Catheter Cardiovasc IntervJul 8, 2026Read case
Clinical ResearchPediatrics

Pediatric triage education for nursing students: Examining the effectiveness of multimedia training.

This randomized controlled trial evaluated the effectiveness of multimedia training on pediatric triage education among 80 nursing students in western Iran.

Int Emerg NursJul 7, 2026Read summary
Clinical ResearchInternal Medicine (General)

Effects of a Video and Audio Support Tool on Family Members' Preferences and Understanding Regarding Life-Sustaining Treatments: Before-and-After Study.

This pre–post study assessed whether audio or video education affected knowledge of and preferences for life-sustaining treatments among adult family members of ICU patients in South Korea.

J Palliat MedJul 7, 2026Read summary
Case ReportEmergency Medicine

Fatal tracheobronchial obstruction caused by a swallowed glove: a rare forensic case with postmortem CT-autopsy correlation.

An elderly male with advanced dementia was found unresponsive in a hospital bed. Despite resuscitation efforts, no airway obstruction was identified.

Leg Med (Tokyo)Jul 6, 2026Read case
Case ReportEmergency Medicine

Unexplained hyperammonemia in the emergency department: Late-onset ornithine transcarbamylase deficiency in a 75-year-old man.

A 75-year-old man presented to the emergency department with acute confusion and vomiting, which progressed to coma. Initial tests showed unexplained hyperammonemia, peaking at 487 μmol/L.

Am J Emerg MedJul 6, 2026Read case
Clinical ResearchPediatrics

A pilot randomized feasibility clinical trial of intranasal vs. intravenous naloxone in pediatric opioid poisoning.

This pilot randomized feasibility trial assessed intranasal (IN) versus intravenous (IV) naloxone in children aged 1-12 years with opioid poisoning.

Drug Alcohol DependJul 3, 2026Read summary

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