Department of Pharmacy, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Department of Pharmacy, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Am J Emerg Med. 2024 Aug;82:166-173. doi: 10.1016/j.ajem.2024.06.004. Epub 2024 Jun 8.
The purpose of this article is to summarize pharmacotherapy related emergency medicine (EM) literature indexed in 2023. Articles were selected utilizing a modified Delphi approach. The table of contents from pre-determined journals were reviewed and independently evaluated via the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system by paired authors. Pharmacotherapy-related publications deemed to be GRADE 1A and 1B were reviewed by the collective group for inclusion in the review. In all, this article summarizes and provides commentary on the potential clinical impact of 13 articles, 6 guidelines, and 5 meta-analyses covering topics including guideline releases and updates on rapid sequence intubation in the critically ill, managing cardiac arrest or life-threatening toxicity due to poisoning, and management of major bleeding following trauma. Also discussed are ongoing controversies surrounding fluid resuscitation, time and treatment modalities for ischemic stroke, steroid use in community-acquired pneumonia, targeted blood product administration, and much more.
本文旨在总结 2023 年索引的与药物治疗相关的急诊医学(EM)文献。文章采用改良 Delphi 法进行选择。通过预定义期刊的目录进行审查,并由配对作者通过推荐评估、发展和评估(GRADE)系统进行独立评估。被认为是 GRADE 1A 和 1B 的药物治疗相关出版物由集体小组审查以纳入审查。总之,本文总结并评论了 13 篇文章、6 项指南和 5 项荟萃分析的潜在临床影响,涵盖了包括发布指南以及对危重症患者快速序贯插管、因中毒导致心脏骤停或生命威胁毒性的管理、创伤后大出血的管理等主题的更新。还讨论了围绕液体复苏、缺血性中风的时间和治疗方式、社区获得性肺炎中类固醇的使用、靶向血制品管理等方面的持续争议。