Actualización 2023 en Sepsis y Shock Séptico en Pacientes Adultos: Manejo en el Servicio de Urgencias Abstract Background: Sepsis/septic shock is a life-threatening and time-dependent condition that requires timely management to reduce mortality. This review aims to update physicians with regard to the main pillars of treatment for this insidious condition. Methods: PubMed, Scopus, and […]
Criterios de diagnóstico recientemente propuestos para el síndrome de dificultad respiratoria aguda: ¿Resuelve el problema la inclusión de una cánula nasal de alto flujo? Abstract Acute respiratory distress syndrome (ARDS) is a common life-threatening clinical syndrome which accounts for 10% of intensive care unit admissions. Since the Berlin definition was developed, the clinical diagnosis and […]
Te agradezco tanto tejido pardo Tipo de tejido con mitocondrias en su contenido Con citocromas responsables de dar su color tan marrón Grasa parda te encontramos en la zona torácica y abdominal donde nos ayudas a regular nuestra temperatura corporal Y si te llegas a activar diabetes me vas a dar Y aun que te […]
A Pilot Study to Examine the Effect of Passive Straight Leg Raise Performed During Cardiopulmonary Resuscitation on Cerebral Perfusion Measured by Noninvasive Cerebral Oximetry Abstract OBJECTIVES: Passive leg raise (PLR) during cardiopulmonary resuscitation (CPR) is simple and noninvasive maneuver, which can potentially improve patient-related outcomes. Initial CPR guidelines have previously advocated “elevation of the lower extremities to augment artificial circulation […]
The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition Abstract Background Severe trauma represents a major global public health burden and the management of post-traumatic bleeding continues to challenge healthcare systems around the world. Post-traumatic bleeding and associated traumatic coagulopathy remain leading causes of potentially preventable multiorgan failure and death […]
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited ABSTRACT The differential diagnosis of hyponatraemia is notoriously wide. However, only a minority is acute, ie develops in less than 48 hours. We describe an unusual cause of water intoxication due to toothache. A 30-year-old man with no medical history of note presented in an […]
The Monro-Kellie Doctrine: A Review and Call for Revision Abstract SUMMARY: The Monro-Kellie doctrine is a well-accepted principle of intracranial hemodynamics. It has undergone few consequential revisions since it was established. Its principle is straightforward: The combined volume of neuronal tissue, blood, and CSF is constant. To maintain homeostatic intracranial pressure, any increase or decrease in […]
Obstetric management of the most common autoimmune diseases: A narrative review Abstract Historically, women with an autoimmune disease (AD) could not get pregnant due to infertility frequently linked to the medical condition or because the pregnancy was contraindicated, as it could harm the mother and the future child. Sometimes, pregnancy was contraindicated because the medication […]
Standards of Care in Diabetes 2023 Las nuevas pautas incluyen actualizaciones de las recomendaciones sobre la obesidad, la hipertensión, los medicamentos para la insuficiencia cardíaca, los determinantes sociales de la salud y el control de los lípidos. Hoy, la American Diabetes Association® (ADA) publicó Standards of Care in Diabetes—2023 (Estándares de atención), pautas integrales basadas […]
POCUS in dyspnea, nontraumatic hypotension, and shock; a systematic review of existing evidence Highlights Diagnostic accuracy of point-of-care ultrasound (POCUS) in patients with dyspnea, non-traumatic hypotension, and shock is higher when compared to not using POCUS in the initial workup.POCUS narrows the differential diagnoses and speeds up in time to diagnosis, where chest X-ray needs […]