Free Emergency Medicine Talks: conferências em mp3

No Free Emergency Medicine Talks existem mais de 1670 conferências gravdas em MP3s de jornadas e congressos internacionais sobre medicine de emergência.

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Aqui algumas aulas do 6^th Mediterranean Emergency Medicine Conference, evento de setembro de 2011, na Grécia!

http://www.emcongress.org/2011/

Day 1, Track A, Morning: Resuscitation

·         Marc Sabbe (Belgium): ILCOR 2010 Guidelines - Implementation in Different Environments - http://freeemergencytalks.net/?p=6343

·         Deborah Diercks (California): Updates from the International Committee on Resuscitation - http://freeemergencytalks.net/?p=6346

·         Scott Weiner (Massachusetts): Update on Prehospital Airway and Resuscitation - http://freeemergencytalks.net/?p=6349

·         Scott Silvers (Florida): The New ACLS Guidelines - http://freeemergencytalks.net/?p=6352

·         Marvin Wayne (Washington): Therapeutic Hypothermia Post Cardiac Arrest - http://freeemergencytalks.net/?p=6355

·         Marcus Ong (Singapore): Autopulse Mechanical CPR Device for Out-of-Hospital Cardiac Arrest - http://freeemergencytalks.net/?p=6358

Day 1, Plenary

·         Patrick Croskerry (Canada): Diagnostic Error – A Case of Neglect - http://freeemergencytalks.net/?p=6361

·         Ziad Kazzi (Georgia): The Public Health Impacts of a Nuclear Plant Crisis in Your Backyard - http://freeemergencytalks.net/?p=6364

Day 1, Track A, Afternoon: Shock & Sepsis

·         Vu Kiet Tran (Canada): Non-Invasive Tools for the Diagnosis and Monitoring of Shock/Sepsis in the Emergency Department - http://freeemergencytalks.net/?p=6367

·         David A. Talan (California): Procalcitonin - How Useful Is It in the ED? - http://freeemergencytalks.net/?p=6370

·         Christoph Dodt (Germany): The Importance of the Autonomic Nervous System in Early Sepsis - http://freeemergencytalks.net/?p=6373

·         Abdel Bellou (France): Biomarkers in Sepsis - Are They Useful? - http://freeemergencytalks.net/?p=6376

·         Alan Jones (Mississippi): Lactate in Emergency Department Shock - What Does It Mean and How Do I Use It? - http://freeemergencytalks.net/?p=6379

·         Fernando Schiraldi (Italy): Full or Empty - Diagnostic Challenges for the Patient in Shock - http://freeemergencytalks.net/?p=6387

Day 1, Track B, Morning – Toxicology & Pharmacology

·         Kurt Anseeuw (Belgium): Cyanide Poisoning by Fire Smoke Inhalation - An Algorithm of Treatment - http://freeemergencytalks.net/?p=6392

·         Melanie Stander (South Africa): The Management of Ethylene Glycol Poisoning - http://freeemergencytalks.net/?p=6395

·         David M. Wood (United Kingdom): Novel Psychoactive Substances - Recreational Drug Toxicity - http://freeemergencytalks.net/?p=6398

·         Judd E. Hollander (Pennsylvania): Update on Cocaine Myocardial Ischemia - http://freeemergencytalks.net/?p=6401

·         Dianne P. Calello (New Jersey): Cyanide Toxicity - Cyanide Antidote Kit vs. Cyanocobalamin - http://freeemergencytalks.net/?p=6404

·         Francisco Moya Torrecilla (Spain): New Anticoagulants in the Management of Acute Entities Like Atrial Fibrillation - http://freeemergencytalks.net/?p=6407

Day 1, Track B, Afternoon – Medical Imaging

·         Hein Lamprecht (South Africa): The FASH (Focused Assessment of Sonography in HIV-TB) Scan - http://freeemergencytalks.net/?p=6412

·         Robert Jarman (United Kingdom): Lung Point of Care Ultrasound Scans - http://freeemergencytalks.net/?p=6415

·         Michael Drescher (Connecticut): The Role of CT Angiography in the Diagnosis of Subarachnoid Hemorrhage - http://freeemergencytalks.net/?p=6418

·         Francisco Moya Torrecilla (Spain): CT for Management of Chest Pain - http://freeemergencytalks.net/?p=6423

·         Gregory Garra (New York): Ultrasound for Assessing an Ectopic Pregnancy - Pros and Cons of the Discriminatory Zone - http://freeemergencytalks.net/?p=6426

·         Jeffrey M. Freeman (Michigan): Ultrasound Imaging to Assess Increased Intracranial Pressure - http://freeemergencytalks.net/?p=6429

Day 1, Track D, Morning – History of Emergency Medicine

·         David Williams (United Kingdom): The Development of European Emergency Medicine - http://freeemergencytalks.net/?p=6434

·         Robert E. Suter (Texas): Hippocrates - Father of 19th Century of American Reformation in Medicine? - http://freeemergencytalks.net/?p=6437

·         Helen Askitopoulou (Greece): Emergencies & Acute Diseases in the Hippocratic Corpus - http://freeemergencytalks.net/?p=6440

·         Joe Lex (Pennsylvania): A Shocking History of Electroresuscitation - http://freeemergencytalks.net/?p=6443

·         Terry Kowalenko (Michigan): Presidential Assassinations - The Medical History - http://freeemergencytalks.net/?p=6446

·         Venkataraman Anantharaman (Singapore): From 3rd World to 1st World - Evolving an Asian Brand of Emergency Medicine - http://freeemergencytalks.net/?p=6449

Day 1, Track D, Afternoon – Administration

·         Mark Reiter (Pennsylvania): The "No Waiting Room" ED - http://freeemergencytalks.net/?p=6453

·         Darren Kilroy (United Kingdom): The Effective Clinical Engagement of the Emergency Department Team - http://freeemergencytalks.net/?p=6456

·         Matthias Brachmann (Germany): Key Performance Indicators for an Emergency Department - http://freeemergencytalks.net/?p=6459

·         Richard Wolfe (Massachusetts): Learning to Be a Department Chair - The Responsibilities of Leadership - http://freeemergencytalks.net/?p=6462

·         Howard Blumstein (North Carolina): Emergency Department Patient Safety Initiatives - http://freeemergencytalks.net/?p=6465

·         Barbara Hogan (Germany): Emergency Department Design Meets Lean Management - http://freeemergencytalks.net/?p=6469

Day 1, Track E – Research in Emergency Medicine

·         Gary Gaddis (Kansas): How to Start Emergency Medical Research - http://freeemergencytalks.net/?p=6473

·         Abdel Bellou (France): Evaluation of Research in Emergency Medicine in Europe - http://freeemergencytalks.net/?p=6476

·         Sean Gottschalk (South Africa): Knowledge Translation - Clinical Decision Rules - http://freeemergencytalks.net/?p=6479

·         Paul Barach (Australia): Assessing and Improving Team Performance in Acute Care Settings - http://freeemergencytalks.net/?p=6482

·         Leslie Zun (Illinois): Pitfalls of Emergency Department Research in the Area of Psychiatric Emergencies - http://freeemergencytalks.net/?p=6485

·         David A. Talan (California): Emergency Department-Based National Sentinel Network for Research on Emerging Infectious Disease - http://freeemergencytalks.net/?p=6488

·         Said Laribi (France): Networking in Research in Emergency Medicine - Description of a Great Network - http://freeemergencytalks.net/?p=6491

·         David Taylor (Australia): Research Ethics and Governance for Emergency Medicine - http://freeemergencytalks.net/?p=6494

·         Nicola Parenti (Italy): A Review on Clinical Governance in Emergency Medicine - http://freeemergencytalks.net/?p=6497

·         Robert E. O'Connor (Virginia): Research Director on a Low Budget - http://freeemergencytalks.net/?p=6500

·         Carlos Garcia Rosas (Mexico): Methods of Evaluation in the Emergency Room - MEXICO vs Mexican Official Rule - http://freeemergencytalks.net/?p=6503

·         Maaret Castren (Sweden): CPR and Cooling in Cardiac Arrest - http://freeemergencytalks.net/?p=6506

Ketamine in Adult Emergency Medicine: Controversies and Recent Advances

Ketamine in Adult Emergency Medicine: Controversies and Recent Advances

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Kendra Sih, Samuel G Campbell, John M Tallon, Kirk Magee, and Peter J Zed


OBJECTIVE: To review the evidence for the use of ketamine in adult emergency
medicine for procedural sedation and analgesia (PSA) and rapid sequence
intubation (RSI), as well as to focus on the issues of recovery agitation,
combination with propofol for PSA, and the use of ketamine as an induction
agent in patients with acute head injury in need of definitive airway management.

DATA SOURCES: PubMed (1949-July 2011), EMBASE (1980-July 2011), Google
Scholar (to July 2011), International Pharmaceutical Abstracts (1964-July 2011),
and Cochrane databases were searched independently. A manual search of
references was also performed.

STUDY SELECTION: English-language, full reports of experimental and observational
studies evaluating ketamine in adults undergoing PSA and RSI in the
emergency department (ED) were included if they reported efficacy or safety
outcomes.

DATA EXTRACTION: Two reviewers independently assessed each article for
inclusion, data extraction, and study limitations.

DATA SYNTHESIS: Six studies that used ketamine for PSA were included. The
majority reported adequate sedation with high patient satisfaction and lack of pain
and procedural recall. There is no evidence to support the superiority of a
combination of ketamine and propofol compared to propofol alone for PSA in
adults. Recovery agitation is common but can be minimized with premedication
with midazolam (number needed to treat 6). Two studies were identified that
evaluated the role of ketamine for induction during RSI in the ED. Although
ketamine is not a first-line agent for RSI, it is an alternative and may be used as
an induction agent in patients requiring endotracheal intubation.

CONCLUSIONS: Ketamine is an effective agent in adults undergoing PSA and RSI
in the ED. The best available evidence provides sufficient confidence to consider
use of this agent in the ED.

KEY WORDS: emergency medicine, intubation, ketamine, procedural sedation and
analgesia.

Ann Pharmacother 2011;45:1525-34.

Published Online, 6 Dec 2011, theannals.com, DOI 10.1345/aph.1Q370