title: [Emergency medicine: updates 2013].
abstract: New evidences published this year are susceptible to change the management of several medical emergencies. Combined antiplatelet therapy might be beneficial for the management of TIA or minor stroke and rapid blood pressure lowering might improve the outcome in patients with intracerebral hemorrhage. A restrictive red cell transfusion strategy is indicated in case of upper digestive bleeding and coagulation factors concentrates are superior to fresh frozen plasma for urgent warfarin reversal. Prolonged systemic steroid therapy is not warranted in case of acute exacerbation of BPCO, and iterative physiotherapy is not beneficial after acute whiplash. Finally, family presence during cardiopulmonary resuscitation may reduce post-traumatic stress disorder among relatives.
authors.affiliation: Service des Urgences HUG, Genève. christophe.marti@hcuge.ch
authors.forename: Christophe
authors.initials: C
authors.lastname: Marti
authors.affiliation: Service des Urgences HUG, Genève.
authors.forename: Olivier
authors.initials: O
authors.lastname: Grosgurin
authors.affiliation: Service des Urgences CHUV, Lausanne.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Beysard
authors.affiliation: Service des Urgences CHUV, Lausanne.
authors.forename: Fabrice
authors.initials: F
authors.lastname: Dami
authors.affiliation: Service des Urgences CHUV, Lausanne.
authors.forename: Pierre-Nicolas
authors.initials: PN
authors.lastname: Carron
authors.affiliation: Service des Urgences HUG, Genève.
authors.forename: Olivier
authors.initials: O
authors.lastname: Rutschmann
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D001803:Blood Transfusion; D004635:Emergency Medicine / Q000639:trends*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy; D006801:Humans; D002546:Ischemic Attack, Transient / Q000628:therapy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011030:Pneumothorax / Q000628:therapy; D020521:Stroke / Q000188:drug therapy
chemical_list: D000959:Antihypertensive Agents; D010975:Platelet Aggregation Inhibitors
vernacular_title: Médecine d'urgence.