Emergency Medicine and Surgery @BMC
@EMSurgeryBMC
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The gateway to @BioMedCentral and @SpringerOpen emergency medicine and surgery journals. #FOAMed #FOAMems
Joined July 2014
Which cardioplegia is safer for valve/aortic surgery?.🫀New study compares Custodiol™ vs. blood cardioplegia.✅Custodiol™:.• ↓Mortality.• ↓Renal failure.• ↓Mechanical support needs.⚠️↑Atrial fibrillation risk.#CardiothoracicSurgery #Cardioplegia.
cardiothoracicsurgery.biomedcentral.com
Background There is no solid evidence on the clinical benefits of blood cardioplegia or Custodiol™ in procedures other than coronary artery bypass grafting. We aimed to compare mortality and the risk...
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Can patients hear during deep hypothermic circulatory arrest?.🧠New study from Journal of Cardiothoracic Surgery finds:.• EEG activity in 33%.• 9% showed signs of implicit memory.• Some recalled near-death-like experiences.#Neuroscience #DHCA.
cardiothoracicsurgery.biomedcentral.com
Background Studies have not explored consciousness during deep hypothermic circulatory arrest (DHCA). However, as studies in cardiac arrest have identified a spectrum of consciousness, we sought to...
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What really defines frailty in older surgical patients?.🧓 study uses factor analysis to find out:.✔️Physical decline, cognitive impairment & anaemia = key drivers.❌Comorbidities? Not linked to frailty.#Geriatrics #SurgicalRisk #PerioperativeMedicine.
perioperativemedicinejournal.biomedcentral.com
Background Frailty is a useful prognostic concept which has spread to many clinical settings, including perioperative medicine. However, there is no consensus on its definition. This situation could...
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📢New RCT in Perioperative Medicine:.Butorphanol nasal spray + epidural = better labor analgesia.✔️↓ Pain scores.✔️↑ Maternal cooperation.✔️Safe for mother & baby.🔍No impact on labor duration or neonatal outcomes.#LaborAnalgesia #RCT #MaternalCare.
perioperativemedicinejournal.biomedcentral.com
Background Epidural block stands as the prevailing, secure, and efficient approach to labor analgesia. Inadequate maternal cooperation not only hampers anesthesia effectiveness but also may lead to...
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Can stem cells help treat dementia?.🧠Review in #IntJEmergMed says: promising signs.• ↓ Aβ toxicity.• ↑ Neurogenesis.• ↓ IL-1β, TNF-α | ↑ IL-4, IL-10.🧬From mice to clinical trials—SCT is advancing.🔗#StemCells #Alzheimers #Neuroinflammation.
intjem.biomedcentral.com
Background Stem cell therapy (SCT) is increasingly recognized for its potential in managing cognitive impairment, particularly that of dementia. The application of SCT aims to restore cognitive...
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Are Pediatric EDs ready for the next disaster?.🌪️New review in #IntJEmergMed highlights:.• Global disparities in preparedness.• Gaps in training, triage, mental health.• Urgent need for child-focused disaster protocols.🔗#DisasterResponse #ChildHealth.
intjem.biomedcentral.com
Background Disasters, whether natural or man-made, pose significant challenges to healthcare systems, with children being among the most vulnerable populations. Pediatric Emergency Departments (PEDs)...
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📢Review in #IntJEmergMed .Can your eyes reveal early signs of Alzheimer’s or Parkinson’s?.👁️AI + retinal imaging says yes. 📊AUC up to 0.918 for PD detection.🧠Detects microscopic retinal changes before symptoms.🔗#AI #Neurodiagnostics #OCT #Retina.
intjem.biomedcentral.com
Background Artificial intelligence (AI) plays a promising role in ophthalmic imaging by providing innovative, non-invasive tools for the early detection of neurodegenerative diseases such as Alzhei...
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📢Meta-analysis in #IntJEmergMed.Does early antibiotic use in preterm infants increase risk of late-onset sepsis (LOS)?.❌No significant link between prolonged antibiotics & LOS.🔍Short-course antibiotics may slightly reduce LOS risk🔗#Neonatology #Sepsis.
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Review in #JCR: Efficacy and safety of mechanical pulmonary valve replacement: a comprehensive systematic review and meta-analysis.📈Mechanical PVR: durable but not without risks. 🔗 #CardiothoracicSurgery #MPVR #Cardiology #CardiacSurgery.
cardiothoracicsurgery.biomedcentral.com
Background Pulmonary valve replacement (PVR) is the most common valve replacement procedure for pulmonary valve dysfunction in congenital heart diseases (CHD). Despite the long-term need for antico...
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Can music ease pain in the ED?.🎧 New RCT in #IntJEmergMed says yes!.✅ Pain & anxiety significantly reduced.✅ No extra meds needed.✅ Improved perception of care.🔗 #EDCare #MusicTherapy #PatientExperience #EmergencyMedicine.
intjem.biomedcentral.com
Background Music therapy (MT) is a recognized modality for pain and anxiety reduction. Although its efficacy has been demonstrated in various clinical settings, its application in emergency departm...
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📢 Narrative review in Perioperative Medicine:.“Goal-directed therapy: what is the goal again?”.🔍 Intraoperative hypotension (IOH) is linked to AKI, MINS, stroke & more. 💡 GDT may reduce complications & improve outcomes—but practice variation persists. 🔗
perioperativemedicinejournal.biomedcentral.com
Recent attention has focused on intraoperative hypotension (IOH) and hemodynamic instability. This enhanced awareness to limit IOH, combined with fluid restriction and increased vasopressor use, has...
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📢 Meta-analysis in #JCS: Prognostic value of baseline glucose levels for mortality in patients with cardiogenic shock: a systematic review and meta-analysis.🔗 #CardiogenicShock #CardioThoracicSurgery #CardiacSurgery #GlucoseMonitoring.
cardiothoracicsurgery.biomedcentral.com
Background Baseline glucose levels have been implicated in the prognosis of critically ill patients. However, the prognostic value of glucose in patients with cardiogenic shock (CS) has not been...
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Article from #IntJEmergMed.“Wrist-clamping & shoulder-lifting” – a novel closed reduction technique for anterior shoulder dislocation.📈 36/36 success.🛑 No sedation, no assistants, no complications.🔗#OrthopedicSurgery #ShoulderDislocation #Trauma.
intjem.biomedcentral.com
Background Acute anterior shoulder dislocation is one of the most common injuries in emergency medicine and orthopaedics. The aim of this study is to introduce a new closed reduction technique: the...
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📢 Meta-analysis in Perioperative Medicine:.PCV & PCV-VG vs. VCV in laparoscopic surgery (Trendelenburg position).🔍 PCV/PCV-VG:.✔️ Lower peak airway pressure.✔️ Higher dynamic compliance.❌ No oxygenation advantage over VCV.🔗#Anesthesia #Ventilation.
perioperativemedicinejournal.biomedcentral.com
Background Volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) are commonly used in laparoscopic surgery in the Trendelenburg position, and pressure-controlled ventilation...
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📢Meta-analysis in #JCS.The association of pulmonary artery catheterization utilization and surgical patients’ outcomes.-Does PAC improve outcomes in surgical patients?.Read more:🔗.#CardiacSurgery #PAC #CardiothoracicSurgery.
cardiothoracicsurgery.biomedcentral.com
Background The utilization of pulmonary artery catheterization (PAC) in surgical patients remains controversial. This study aims to assess the impact of PAC utilization on surgical patient outcomes....
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📢Review in Perioperative Medicine: Global research trends in perioperative care for diabetic patients: a bibliometric and visualized study.📈3,167 articles analyzed.🌍USA leads in research output.🔥Hotspots: blood glucose control, CGM, insulin algorithms🔗
perioperativemedicinejournal.biomedcentral.com
Perioperative management in diabetic patients is important since their postoperative mortality and morbidity are higher than that of non-diabetic patients, which will exacerbate the burden on public...
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📢Review in #JCS: Effectiveness and safety of different types of ablation modalities in patients with atrial fibrillation.Bayesian network meta-analysis of 46 RCTs (n=6,332) compares ablation strategies for AF .#AtrialFibrillation #CardiacSurgery #NMA.
cardiothoracicsurgery.biomedcentral.com
Introduction Atrial fibrillation (AF) is the most common cardiac arrhythmia, which significantly contributes to morbidity, mortality, and a diminished quality of life. Despite advancements in...
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🚨Call for Papers🚨#IntJEmergMed invites submissions to our new Collection: "Public health response to disasters and crises: effective interventions during and after emergencies".🧪 Evidence-based research.🌍 Global perspectives.📅 Deadline: 12 March 2026.
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🚨 Review in Perioperative Medicine."Global trends in AI research in anesthesia (2000–2023): A bibliometric analysis".🔍 Key insights into research hotspots like DOA, perioperative risk, and telehealth. 🔗#Anesthesia #AI #PerioperativeCare #MedicalResearch.
perioperativemedicinejournal.biomedcentral.com
Background Interest in artificial intelligence (AI) research in anesthesia is growing rapidly. However, there is a lack of bibliometric analysis to measure and analyze global scientific publications...
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Submit to our new Collection in the International Journal of Emergency Medicine: "Public health response to disasters and crises: effective interventions during and after emergencies" .📣 Read Dr. Goniewicz’s post: #CallForPapers.
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🚨 Do you have research on disasters, emergencies, or public health crises? Looking for a platform that reaches both researchers and frontline practitioners? 📢 As the Guest Editor, I'm excited to...
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