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Pre-Hospital Antibiotics in Sepsis?

REBEL EM

PMID: 35387313 Clinical Question: Do prehospital antibiotics impact 28 day mortality, length of stay in the hospital and ICU length of stay for patients triggering sepsis compared to usual care (No prehospital antibiotics)? Clinical Take Home Point: Cutting corners to speed up time is not always a good thing in medicine.

Hospital 132
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ASTRO and ESTRO Issue Clinical Guideline on Local Therapy for Oligometastatic Lung Cancer

Imaging Technology

A growing body of research, however, points to an additional role for definitive local therapy to all disease sites, aiming at durable tumor control and improved survival outcomes. Radiation and surgery are the only recommended modalities for definitive local treatment of oligometastatic NSCLC.

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The NICO Trial: NIV in Comatose Patients with Acute Poisoning

REBEL EM

These patients can be at risk of vomiting and aspiration and often prompts clinicians to pursue definitive airway management to avoid pneumonia and other complications. Effect of Noninvasive Airway management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial.

Hospital 141
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Microflow imaging useful in diagnosing breast lesions

AuntMinnie

Microflow imaging can differentiate between benign and malignant breast lesions, suggest findings published October 28 in Clinical Radiology. Microflow imaging and high-definition microflow imaging can detect more blood flow in breast lesions than color Doppler flow imaging…,” Luo and co-authors wrote. Grade 1 25.4% 8% Grade 2 23.9%

Diagnose 126
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TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest

REBEL EM

In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. Paper: Eastwood G, et al. N Engl J Med. Epub 2023 Jun 15.

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Clarius Receives CE Mark Certification for its Dual-Array Wireless Handheld Scanner for Whole-Body Ultrasound Imaging

Imaging Technology

The Clarius PAL HD3 high-definition wireless scanner is available today in Europe and the United Kingdom. You can probably do 95 to 99% of all the ultrasound imaging you need to do during a shift with this single device,” says Dr. Tom Cook who practices at a busy urban hospital. “If

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PET/CT radiomics predicts outcomes in women with cervical cancer

AuntMinnie

The nomogram incorporating radiomics and clinical features could be a useful clinical tool for the early and accurate assessment of long-term prognosis in patients,” the group wrote. They extracted radiomics features from this data based on their clinical effectiveness in predicting 3- and 5-year progression-free survival.

Clinic 118