Author Archives: MJEM ONLINE

Potential interest of tranexamic acid for adult epistaxis control

SOURCE Joseph J, Martinez-Devesa P, Bellorini J, Burton MJ (2018). Tranexamic acid for patients with nasal haemorrhage (epistaxis). Cochrane Database Syst Rev 12: CD004328. CONTEXT Epistaxis is a common presentation to emergency departments.  Prevalence is highest in children and in the elderly, especially in the context of taking treatments disrupting haemostasis. The use of tranexamic acid (TXA), the efficacy of ...

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Oral Factor Xa inhibitors (xabans) better prevent thromboembolic complications than warfarin in atrial fibrillation

SOURCE Bruins Slot KMH, Berge E.  (2018) Factor Xa inhibitors versus vitamin K antagonists for preventing cerebral or systemic embolism in patients with atrial fibrillation. Cochrane Database Syst Rev 3 :CD008980. CONTEXT The introduction of factor Xa inhibitors (FXaI), including xabans and parinux, offers an alternative to vitamin K antagonist (VKA) in the management of non-valvular atrial fibrillation (AF). Non-valvular AF is ...

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Don’t hesitate to prescribe direct oral anticoagulants in patient with atrial fibrillation associated with moderate chronic kidney disease

SOURCE Kimachi M, Furukawa TA, Kimachi K et al (2017) Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial fibrillation patients with chronic kidney disease. Cochrane Database Sys Rev 11:CD011373. CONTEXT Atrial fibrillation (AF) is a common pathology and its management has changed recently with the introduction of direct oral anticoagulants (DOAC). Chronic kidney disease (CKD) ...

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Similar efficacy of short-term (≤ 7 days) versus prolonged use of corticosteroid therapy during an exacerbation of chronic obstructive pulmonary disease

SOURCE Walters JAE, Tan DJ, White CJ, Wood-Baker R (2018).Different durations of corticosteroid therapy for exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 3:CD006897. CONTEXT Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death in the world. It is projected to rise to 4.5 million deaths in the year 2020. Ten percent of patients with ...

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Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease

SOURCE Vollenweider DJ, Frei A, Steurer, Stey CA, et al. (2018). Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease. Cochrane Database Systematic Rev 10: CD010257 CONTEXT Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease characterized by a progressive deterioration in respiratory function. COPD exacerbations (COPDE) are associated with increased morbidity and mortality, increased hospitalizations, decreased physical capacity, and ...

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Prise en charge des arrêts cardiaques extrahospitaliers sur un territoire français

Mainsel A, Martinez M, Lefebvre T, Espinouse S, Guenier PA, Savu A, Carle O, Massacrier S, Parsis P, Viallon A. Management of out-of-hospital cardiac arrests in a French territory. Med Emergency, MJEM 2020; 28 DOI: 10.26738/MJEM.2017/MJEM28.2020/MM.OAF.021019 Keywords: cardiac arrest, epidemiology, neurological prognosis, outcome, out-of-hospital Mots clés : arrêt cardiaque, épidémiologie, extrahospitalier, pronostic neurologique, survie

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Severe traumatic brain injury

Ismail N. Severe traumatic brain injury. Med Emergency, MJEM 2020; 28 DOI: 10.26738/MJEM.2017/MJEM28.2020/NI.RAE.100719 Keywords: brain trauma, traumatic brain injury, TBI, Glasgow Coma Scale

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The making of a ruler for everyday pediatric drug prescription in a field trauma hospital

Brizio A, Tbaileh N. The making of a ruler for everyday pediatric drug prescription in a field trauma hospital. Med Emergency, MJEM 2020; 28 DOI: 10.26738/MJEM.2017/MJEM28.2020/AB.CRE.030719 Key words: Drug prescription tool, drug ruler, pediatric drugs dosage estimation, safe paediatric drug prescription

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Bed rest is associated with more post-dural puncture headache

SOURCE Arevalo-Rodriguez I, Ciapponi A, Roqué I, et al. (2016). Posture and fluids for preventing post-dural puncture headache. Cochrane Database Syst Rev 3:CD009199 CONTEXT Post-dural puncture headache (PDPH) complicates up to 30% of lumbar punctures (LP). Bed rest and supplementary fluids administration are common preventative practices after a LP. CLINICAL QUESTION Does bed rest and/or additional fluids administration decrease the ...

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Supraventricular tachycardia: adenosine and calcium channel antagonist are equivalent

SOURCE Alabed S, Sabouni A, Providencia R, et al. (2017). Adenosine versus intravenous calcium channel antagonists for supraventricular tachycardia. Cochrane Database of Syst Rev 10:CD005154. CONTEXT Supraventricular tachycardia (SVT) is a common arrhythmia. Vagal maneuvres are often unsuccessful and drugs are required to terminate SVT.  Despite limited evidence, current guidelines recommend using adenosine as first-line treatment. CLINICAL QUESTION Should adenosine ...

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