Revue médicale suisse
-
Delirium is a frequent medical problem in hospitalized patients and is often underdiagnosed in spite its high morbidity and mortality. Early diagnosis and treatment are mandatory. Amongst diagnostic instruments currently available, the Confusion Assessment Method (CAM) appears to be the best bedside tool due to its performance and rapidity of use. An adaptation for intensive care patients, CAM-ICU, has also been validated.
-
Type 2 diadetes is associated with an increased risk of fractures. Calcium supplements are still in the middle of a cardiovascular controversy. ⋯ After 5 years treatment with denosumab, fracture incidence remains low. Atypical femoral fractures associated with bisphosphonates treatment have been evaluated in the university hospital of Geneva.
-
We review some of the most influential papers from 2012 in the different aspects of emergency medicine, such as prehospital medicine, resuscitation, early diagnosis and timely ED discharge and treatment. In particular, intramuscular benzodiazepines have been shown to be efficient in prehospital status epilepticus, epinephrines usefulness in cardiopulmonary resuscitation has been challenged, colloids have been shown to be deleterious in the treatment of severe sepsis and septic shock, the time window for thrombolysis in acute stroke will probably be extended, acute pyelonephritis treatment duration can be decreased, new D-dimers thresholds for older patients may prevent further diagnosis tests, and hs-Troponin may allow earlier discharge of low coronary risk patients.