RSS | Shock e rianimazione

Raccolta aggiornata in tempo reale degli articoli scientifici più recenti su shock ipovolemico, cardiogeno, settico, ostruttivo e sulle strategie avanzate di rianimazione. Il feed RSS attinge da PubMed per offrire al medico d’urgenza una panoramica aggiornata su protocolli, farmaci, dispositivi e approcci multidisciplinari per la stabilizzazione del paziente critico.

Shock e rianimazione

Nurse-led dynamic urine monitoring reduces acute kidney injury in patients with severe hymenoptera stings: a historically controlled retrospective study 3 Settembre 2026
CONCLUSION: Nurse-led dynamic urine monitoring protocol implementation is independently associated with reduced AKI incidence and shorter emergency ICU length of stay in patients with severe hymenoptera stings. By enabling early recognition and standardized response, nurse-led dynamic urine monitoring protocol is a potentially effective strategy for refined nursing care in this high-risk population.
Xuyuan Xu
Challenging convention: a secondary data analysis of circulation-first versus airway-first triage in trauma patients receiving blood transfusions 3 Settembre 2026
CONCLUSION: When comparing a circulation-first to an airway-first approach to triage in a unique, severely injured cohort of trauma patients, there was no difference detected in transfusion requirements or mortality. Centers participating in LITES more frequently used CAB over ABC for patients with penetrating trauma. The sample size and characteristics of this cohort limit its […]
Jacob Metheny
Amniotic Fluid Embolism With Maternal and Neonatal Survival in the Setting of Previously Undiagnosed Placenta Accreta Spectrum 3D: A Case Report 3 Settembre 2026
Amniotic fluid embolism (AFE) is a rare and life-threatening obstetric emergency characterized by sudden cardiopulmonary collapse and coagulopathy. Diagnosis remains clinical, and one of exclusion, as presentation may overlap with other causes of maternal cardiovascular collapse and hemorrhage. Here we present a 34-year-old woman, gravida 7 para 2133, at 33 weeks and one day gestation […]
Dan Schaefer
Blunt versus penetrating trauma: differences in early physiology, coagulopathy, and outcomes in a Scandinavian trauma centre 2 Settembre 2026
CONCLUSIONS: Within this Scandinavian trauma system, blunt and penetrating trauma represent distinct clinical entities with differing injury patterns, physiological responses, and management needs. Despite these differences, adjusted mortality was comparable. These findings may support mechanism-specific assessment and prioritisation in trauma management.
Erik von Oelreich
Clinical characteristics and prognostic differences among acute heart failure phenotypes in the emergency department: a real-world study 2 Settembre 2026
CONCLUSIONS: In this ED-based AHF cohort, IRVF and CS were independently associated with worse 1-year outcomes, supporting phenotype-based risk stratification in the ED.
Hanyang Liang
Association of Whole Blood Transfusion With Survival Among Patients Achieving ROSC After Prehospital Traumatic Cardiac Arrest 2 Settembre 2026
CONCLUSIONS: Among selected early survivors of blunt traumatic PHCA with restored circulation during initial hospital assessment, WB transfusion was associated with lower 30-day in-hospital mortality and greater calculated plasma and platelet delivery than component-only therapy. Residual confounding and survivor selection remain possible, and prospective confirmation is needed.
Hui Li
Aligning training with clinical reality: linking case-mix and self-reported confidence to entrustable professional activities in physician-staffed EMS 2 Settembre 2026
CONCLUSION: These findings identify patterns of clinical exposure and self-perceived confidence in the studied EMS context and suggest domains that may warrant further investigation in broader settings. They may inform the preliminary development of candidate EPA-based training frameworks in physician-staffed EMS systems. However, the findings do not demonstrate actual competence deficits, unsafe practices, patient safety […]
Christian Engelen
Investigating the impact of community first responders on out-of-hospital cardiac arrest outcomes in the North East of England: a retrospective cohort study 2 Settembre 2026
CONCLUSION: CFR attendance was associated with improved early resuscitation processes but not with increased survival to hospital discharge after adjustment. These findings suggest that CFRs strengthen the early links of the chain of survival, while longer-term outcomes remain influenced by downstream system and clinical factors. Further research incorporating more granular CFR-specific data is required to […]
Owen Finney
Improving Physicians' Adherence to the American Heart Association Guidelines for Airway Management: A Clinical Audit at Almanagil Teaching Hospital 2 Settembre 2026
Background Effective airway management is a critical component of cardiopulmonary resuscitation (CPR) and emergency care. Deficiencies in healthcare professionals' knowledge of and adherence to evidence-based airway management principles may compromise the quality of resuscitation and patient outcomes. This study aimed to evaluate the effectiveness of a multifaceted quality improvement intervention in improving healthcare professionals' knowledge […]
Noha Salaheldeen Taha Mahde
Outcomes among patients with out-of-hospital cardiac arrest who activated an ECPR pathway and achieved ROSC before cannulation 2 Settembre 2026
CONCLUSION: Patients with OHCA who achieved prehospital ROSC and were treated within a metropolitan hub-and-spoke ECPR system had an 84% survival rate to hospital discharge, with 74.45% achieving favorable neurological outcome (CPC 1-2), despite infrequent subsequent ECMO use.
Deborah Jaeger
Specialized Equipment for Airway Maintenance, Indications, and Techniques 2 Settembre 2026
Advanced airway management integrates basic airway instrumentations, tracheal intubation, and emergency front of neck access to maintain oxygenation and ventilation in perioperative and critical care settings. The ability to ventilate a patient using bag-valve mask technique is an essential tool for every health care provider. When this basic technique is ineffective, direct laryngoscopy facilitates visualization […]
Michael H Chan
Preserved inflammatory homeostasis during emergency transport: a multibiomarker assessment of neonatal RDS transfers 1 Settembre 2026
CONCLUSION: No significant differences were detected between pre- and posttransport inflammatory marker levels. These findings suggest that the transport process may not be associated with a measurable inflammatory response, possibly reflecting the effectiveness of appropriate treatment and stabilisation during transport.
Eyüp Sari
Correlation Between EMS Agency Rates of Survival to Hospital Admission and Hospital Survival Outcomes for Cardiac Arrest 1 Settembre 2026
CONCLUSIONS: EMS agency rates of survival to hospital admission are strongly correlated with their rates of survival to hospital discharge and favorable neurological survival. These findings support the use of survival to hospital admission as a performance metric for EMS systems.
Tanawat Attachaipanich
No-Flow Duration and Outcomes After Cardiogenic Out-of-Hospital Cardiac Arrest in Older Adults 1 Settembre 2026
CONCLUSIONS AND RELEVANCE: In this cohort study of older adults with cardiogenic OHCA, the no-flow time window compatible with an estimated probability of at least 1% for favorable neurologic outcome became progressively shorter with advancing age. These findings may inform resuscitation decision-making in aging populations.
Yuki Kishihara
Intraventricular haemorrhage (IVH) and associated clinical characteristics in outborn preterm infants <32 weeks undergoing neonatal transport in Western Australia: a retrospective cohort study (2011-2021) 1 Settembre 2026
CONCLUSIONS: In outborn preterm infants
Saumil Desai
Higher shock index at presentation is associated with mortality in stray cats at an emergency medical center 30 Agosto 2026
CONCLUSIONS: SI at presentation was associated with mortality in this cohort of stray cats. SI assessment may support initial clinical evaluation in resource-limited settings, but prospective studies with external validation are needed.
Cheyoun Kim
Splenic Vein Thrombosis Complicating Hypertriglyceridemia-Induced Acute Pancreatitis in Diabetic Ketoacidosis: A Rare Clinical Tetrad 29 Agosto 2026
Diabetic ketoacidosis (DKA) is a life-threatening metabolic emergency that may be accompanied by severe hypertriglyceridemia (HTG), particularly in patients with poorly controlled type 1 or 2 diabetes mellitus. Marked HTG is a well-recognized cause of acute pancreatitis, while splenic vein thrombosis (SVT) is an uncommon vascular complication of pancreatic inflammation. The coexistence of these four […]
Adebola O Adetiloye
Development of a machine-learning risk stratification tool for vasoactive medication need after two-bolus fluid resuscitation in pediatric suspected sepsis 29 Agosto 2026
CONCLUSION: Machine learning accurately identified children at risk for fluid-refractory septic shock and may support timely vasopressor initiation.
Tom Velez
Role of Therapeutic Plasma Exchange in Severe Hypertriglyceridemia-Induced Acute Pancreatitis Associated With Preeclampsia: A Case Report 28 Agosto 2026
Acute pancreatitis during pregnancy is an uncommon but serious condition associated with significant maternal and fetal morbidity. Hypertriglyceridemia-induced acute pancreatitis (HTG-AP) is a severe etiology that presents unique diagnostic and management challenges, particularly when complicated by preeclampsia. Diagnosis may be difficult because clinical manifestations can overlap with those of other obstetric emergencies. We report the […]
Hossam Algallie
Hantavirus: A focused review for the emergency medicine clinician 28 Agosto 2026
CONCLUSION: Hantavirus may initially present with a non-specific viral prodrome, but travel and social history should prompt greater diagnostic suspicion. Patients are managed similarly to those with other viral hemorrhagic fevers.
Summer Chavez