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 […]
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 […]
Stroke and Emerging Blood Biomarkers: A Clinical Prospective Abstract Stroke constitutes the primary source of adult functional disability, exhibiting a paramount socioeconomic burden. Thus, it is of great importance that the prediction of stroke outcome be both prompt and accurate. Although modern neuroimaging and neurophysiological techniques are accessible, easily available blood biomarkers reflecting underlying stroke-related […]
Peritoneal Dialysis Prescription and Adequacy in Clinical Practice: Core Curriculum 2023 As the global prevalence of peritoneal dialysis (PD) continues to grow, practitioners must be equipped with prescribing strategies that focus on the needs and preferences of patients. PD is an effective form of kidney replacement therapy that offers numerous benefits to patients, including more […]
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines Resumen Apuntar La “Guía de la AHA/ACC/HFSA de 2022 para el tratamiento de la insuficiencia cardíaca” reemplaza la “Guía de la ACCF/AHA de 2013 para el tratamiento de la insuficiencia […]
Manejo de la hiperglucemia en pacientes adultos hospitalizados en entornos de cuidados no críticos: una guía de práctica clínica de la Endocrine Society Las recomendaciones se basan en la consideración de resultados importantes, practicidad, viabilidad y valores y preferencias del paciente. Estas recomendaciones se pueden utilizar para informar la mejora del sistema y la práctica clínica […]
The management of acute and chronic hyponatraemia Abstract Hyponatraemia is the most common electrolyte abnormality encountered in clinical practice; despite this, the work-up and management of hyponatraemia remain suboptimal and varies among different specialist groups. The majority of data comparing hyponatraemia treatments have been observational, up until recently. The past two years have seen the […]