Emergencia

The Role of the Nephrologist in Management of Poisoning and Intoxication: Core Curriculum 2022

The Role of the Nephrologist in Management of Poisoning and Intoxication: Core Curriculum 2022 Poisoning is a common problem in the United States. Acid-base disturbances, electrolyte derangements, or acute kidney injury result from severe poisoning from toxic alcohols, salicylates, metformin, and acetaminophen. Lithium is highly sensitive to small changes in kidney function. These poisonings and […]

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Diagnosis and management of arrhythmias in pregnancy

Diagnosis and management of arrhythmias in pregnancy   Abstract Arrhythmias are the most common cardiac complications occurring in pregnancy. Although the majority of palpitations in pregnancy may be explained by atrial or ventricular premature complexes, the full spectrum of arrhythmias can occur. In this article, we establish a systematic approach to the evaluation and management […]

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Reevaluating the Cardiac Risk of Noncardiac Surgery Using the National Surgical Quality Improvement Program

Reevaluating the Cardiac Risk of Noncardiac Surgery Using the National Surgical Quality Improvement Program Abstract Background As surgical techniques evolve and patient outcomes improve over time, a renewed analysis of the cardiac risk of noncardiac surgeries is needed. The goal of this study was to investigate and categorize the cardiac risk of elective noncardiac surgeries. […]

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2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization

2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization La enfermedad de las arterias coronarias sigue siendo una de las principales causas de morbilidad y mortalidad a nivel mundial. La revascularización coronaria es una opción terapéutica importante en el manejo de pacientes con enfermedad arterial coronaria. La guía de revascularización de arterias coronarias de 2021 proporciona recomendaciones basadas en […]

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JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure

JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure El cambio principal en esta edición revisada es la integración de las pautas de tratamiento de insuficiencia cardíaca anteriores, que se separaron en insuficiencia cardíaca aguda e insuficiencia cardíaca crónica. Este cambio se basó en el reconocimiento de que separar las […]

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Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology

Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology Abstract Non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain, fever, and inflammation. Historically, NSAIDs have been categorized as traditional NSAIDs and newer cyclooxygenase (COX)-2 inhibitors (coxibs). However, traditional NSAIDs also inhibit the COX-1 and COX-2 enzyme isoforms […]

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2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain

2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain El dolor de pecho es una de las razones más comunes por las que las personas buscan atención médica. Esta guía se desarrolló para la evaluación del dolor torácico agudo o estable en entornos ambulatorios y de urgencias, haciendo hincapié en el diagnóstico de dolor […]

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Renal Replacement Techniques in Septic Shock

Renal Replacement Techniques in Septic Shock Abstract Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response to an infection; it carries a risk for mortality, considerably exceeding that of a mere infection. Sepsis is the leading cause for acute kidney injury (AKI) and the requirement for renal replacement therapy (RRT) […]

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Non-resuscitation fluid in excess of hydration requirements is associated with higher mortality in critically ill children

Non-resuscitation fluid in excess of hydration requirements is associated with higher mortality in critically ill children Abstract Background Large volumes of non-resuscitation fluids are often administered to critically ill children. We hypothesize that excess maintenance fluid is a significant contributor to non-resuscitation fluid and that non-resuscitation fluid administered beyond hydration requirements is associated with worse […]

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Diagnostic Value of Thromboelastography (TEG) for the Diagnosis of Death in Infected Patients

Diagnostic Value of Thromboelastography (TEG) for the Diagnosis of Death in Infected Patients Abstract In this study, we want to investigate the clinical value of each index of thromboelastography (TEG) on the prognosis of infected patients. The clinical baseline data and TEG test results of 431 infected patients in our hospital’s emergency department between January […]

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