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 […]
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 […]
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 […]
Treatments in Ischemic Stroke: Current and Future Abstract Background and Aim: Despite progress made over the last 30 years, stroke is still a leading cause of disability and mortality; likewise, its burden is expected to increase over the next decades, due to population growth and aging. The development of drugs with better safety-efficacy profiles as well […]
2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association Antecedentes y objetivo La hemorragia intracerebral (ICH) continúa siendo una forma mortal de accidente cerebrovascular; La mortalidad a los 90 días oscila entre el 15 % y el 40 %. Debido al aumento de la edad […]
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 […]
Current applications and limitations of European guidelines on blood pressure measurement: implications for clinical practice Abstract Hypertension is the most common cardiovascular (CV) risk factor, strongly and independently associated with an increased risk of major CV outcomes, including myocardial infarction, stroke, congestive heart failure, renal disease and death due to CV causes. Effective control of […]
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines Abstract Aim The “2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure” replaces the “2013 ACCF/AHA Guideline for the Management of Heart Failure” and the “2017 ACC/AHA/HFSA Focused Update […]