My favourite EM articles of 2016. Part 1.

19 Gen

Here are some articles that influenced my clinical practice and my clinical thinking during the last year.

They are not probably the best of all but are my choice, and are all free full text.

So read carefully the full article and judge yourself if worth  or not the mention.

Good reading to everyone. 

The state of the art: Moderate to high quality evidence suggests that compared with medical care alone in a selected group of patients endovascular thrombectomy as add-on to intravenous thrombolysis performed within six to eight hours after large vessel ischaemic stroke in the anterior circulation provides beneficial functional outcomes, without increased detrimental effects.

A radical change in definition and concepts of Sepsis and sepsis management . From SSC to Sepsis 3. Not a worldwide accepted change in clinical practice. If you are interested in more about go to Sepsis folder

A complete guide to approach at children with decreased level of consciounes is for me a constant friend in my clinical practice.

Less is better when comes to Oxygen therapy. This very well done Italian study despite his early unplanned termination (cause of a earthquake that hitted the centre of Italy) confirm the trend toward reduced mortality in conservative targeted oxygen administration versus conventional liberal therapy.

Hypoxic lactic production is a mantra in both patho-physiology and clinical practice. In this article the author gives different interpretation of the phenomena. One of my favourite. 

This systematic review and meta-analysis clearly demonstrate how in both cases CA and CS, ECMO support improve mortality compared with standard techniques. Every emergency system has to consider this option.

Rare but dramatic condition among all the epileptics status need the best of EB treatment. Here is the latest reference guidelines released by one of the most important international scientific society. Must read.

Traditional performance measures and a proposal for a new more complete model for Clinical Performance Benchmarking. An efficiency and quality assessment method that prehospital systems need to acquire. 

Debating about with model of EMS is the more efficient in performing out of hospital CPR? This systematic review and meta-analysis  affirm that physician based models have better performances than non physician based ones.

HEMS vs GEMS. Ground or air transport in traumatized patients? This article is not the end of the story, but pose a good base on how HEMS can be a better alternative to rescue and transport trauma patients.

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