All news from Trauma and Critical Care Medicine

Intravenous Immunoglobulin

Intravenous Immunoglobulin Plus Cyclosporine Boosts Heart Outcomes

Adding cyclosporine to intravenous immunoglobulin  (IVIG) may prevent adverse coronary artery outcomes in Kawasaki disease patients at risk of not responding to IVIG alone, researchers say. Genetic studies have indicated possible involvement of the up regulated calcium-nuclear factor of activated T cells pathway in the pathogenesis of Kawasaki disease. They aimed to assess safety and…

Acute myocardial infarction

Myocardial Infarction Less Frequent, Less Deadly Over 20 Years

Acute myocardial infarction (AMI) is undergoing a transition. For the last 2 decades, Medicare has focused on improving quality of care for patients with AMI; so starting with the Cooperative Cardiovascular Project. Studies have reported improvements in quality and reductions in AMI hospitalizations; so risk of short-term mortality during various periods within this time span.…

ICU Model

New ICU Model Discovers Causes Of Health Emergencies

A new model for intensive care, developed by Rutgers and RWJBarnabas Health System, can help identify preventable—and previously overlooked—factors that often send chronically ill patients to the intensive care unit (ICU). The new process requires the ICU team—including physicians, nurses, pharmacists, social workers, chaplains and others; but to truly listen to patients and their families…

Coronary Angiography

The Optimal Timing Of Coronary Angiography In NSTEMI Patients

In patients resuscitated after cardiac arrest who do not show evidence of the type of heart attack known as ST-segment elevation myocardial infarction (STEMI), receiving immediate coronary angiography did not improve survival at 90 days compared to waiting a few days before undergoing the procedure, based on findings presented at the American College of Cardiology’s…

Heart attack

Ticagrelor Is Safe And Effective As Clopidogrel After Heart Attack

Patients given clot busters to treat a fared equally well if they gave the standard blood-thinning medication clopidogrel versus the newer; more potent drug ticagrelor, according to research presented at the American College of Cardiology’s 68thAnnual Scientific Session. The trial, called TREAT, is the first large, international trial to assess ticagrelor’s safety and efficacy in patients…

Irregular Heart Rhythms

Smartwatch App For Detection Of Irregular Heart Rhythms

Should an abnormal heart rhythm detected by a smartwatch in otherwise healthy young adults be treated? Are the benefits of this new technology worth the risks? Where is the technology headed? Answers to these and other vital questions will be debated during the Meet the Trialist of the Apple Heart Study on Tuesday at EHRA…

Hospital Care

Babies May Get Better Hospital Care When Parents Say Thanks

Critically ill infants may receive better care in the hospital; when their parents take the time to thank doctors and nurses than; when families don’t express any gratitude, a small study suggests. “Small expressions of gratitude originating from the patients or their families (but not from a medical authority) facilitate patient care and enhance patient…

Trauma Systems

Current Snapshot And Forward Look At Global Trauma Systems

National trauma systems play a critical role in improving survival and reducing disability from musculoskeletal and other injuries. An update on trauma systems around the world and priorities for developing and standardizing care; in lower- and higher-income countries is presented in a supplement to OTA International, open-access journal of the Orthopedic Trauma Association. The journal…

Trauma Center

African-Americans Likely To Live In Trauma Deserts

African-Americans in major U.S. cities are significantly more likely to live in “trauma deserts”; but with limited access to advanced emergency medical care, according to new research from the University of Chicago Medicine. The study also shows the academic medical center’s new Level 1 Trauma Center; but led to a seven-fold reduction in Chicago’s access…

Sepsis Progression

Novel Drug Shows Potential To Prevent Sepsis Progression

Research into a new breakthrough therapy in the fight against sepsis has shown that the drug has potential to stop all sepsis-causing bacteria from triggering organ damage in the early stages of the condition. The pre-clinical trial of InnovoSep, carried out by researchers at RCSI (Royal College of Surgeons in Ireland); has demonstrated that the…

Trauma centers

Racial And Ethnic Disparities In Access To Trauma Centers

An analysis of census tract data for neighborhoods in America’s three largest cities suggests black-majority neighborhoods; are associated with disparities in access to trauma centers. The study paired census tract data for New York City, Los Angeles and Chicago; with coordinates for trauma centers within a five-mile buffer. Black-majority neighborhoods were more likely than white-majority…

Trauma Impacts

Exposure To Trauma Impacts Ability To Squash Bad Memories

Previous work has shown that healthy individuals can actively suppress emotional memories through recruitment of the lateral prefrontal cortex. By contrast, individuals with post-traumatic stress disorder (PTSD) frequently experience unwanted memories of their traumatic experiences, even when making explicit efforts to avoid them. However, little is known regarding the behavioral and neural effects of memory…