[编者按]：日前，2017年最新JCR SCI影响因子发布。我们对于读者可能感兴趣的杂志进行了总结，将按照影响因子前20名，重症医学相关以及急诊医学相关杂志进行发布。 2016-2017年重症医学领域杂志影响因子 Abbreviated Journal Title IF 2016-2017 IF 2015-2016 IF 2014-2015 IF 2013-2014 IF 2012-2013 IF 2011-2012 LANCET RESP MED 19.287 15.328 9.629 0 0 0 AM J RESP CRIT CARE 13.204 13.118 12.996 11.986 11.041 11.08 INTENS CARE MED 12.015 10.125 7.214 5.544 5.258 5.399 EUR RESPIR J 10....

[编者按]：日前，2017年最新JCR SCI影响因子发布。我们对于读者可能感兴趣的杂志进行了总结，将按照影响因子前20名，重症医学相关以及急诊医学相关杂志进行发布。 2016-2017年影响因子前20名 Abbreviated Journal Title IF 2016-2017 IF 2015-2016 IF 2014-2015 IF 2013-2014 IF 2012-2013 IF 2011-2012 CA-CANCER J CLIN 187.04 137.578 115.84 162.5 153.459 101.78 NEW ENGL J MED 72.406 59.558 55.873 54.42 51.658 53.298 NAT REV DRUG DISCOV 57 47.12 41.908 37.231 33.078 29.008 CHEM REV 4...

Original Investigation June 13, 2017 Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma: A Randomized Clinical Trial James F. Holmes, Kenneth M. Kelley, Sandra L. Wootton-Gorges, et al. JAMA. 2017;317(22):2290-2296. doi:10.1001/jama.2017.6322 Abstract Importance 背景 The utility of the focused assessment with sonography for trauma (FAST) examination in children is unknown. FAST检查在儿童的应用尚属未知。 ...

Use of stepwise lactate kinetics-oriented hemodynamic therapy could improve the clinical outcomes of patients with sepsis-associated hyperlactatemia Xiang Zhou, Dawei Liu, Longxiang Su, et al Critical Care 2017; 21: 33 DOI: 10.1186/s13054-017-1617-1 Background 背景 Setting lactate kinetics at >30% might improve the clinical outcomes of patients with sepsis-associated hyperlactatemia. The aim of this study was to explore the outcome benefits of stepwise lactate ki...

Safety and Efficacy of Antiviral Therapy for Prevention of Cytomegalovirus Reactivation in Immunocompetent Critically Ill Patients: A Randomized Clinical Trial. Cowley NJ, Owen A, Shiels SC, et al JAMA Intern Med. 2017;177(6):774-783 doi: 10.1001/jamainternmed.2017.0895. [Epub ahead of print] Abstract IMPORTANCE: 背景 Latent cytomegalovirus (CMV) infection is present in more than half the adult population, and a viral reactivation (ie, when the virus becomes measurable in...

10 Common Wilderness and Environmental Medical Illnesses and Injuries William Selde, MD, FAWM; Will Smith, MD, FAWM, Paramedic | June 1, 2017 Outdoor recreational activities in wilderness environments or remote locations have become increasingly popular, with estimates of US consumer spending reaching $646 billion each year. [1] The growth of interest in these pastimes necessitates an understanding of the potential related illnesses and injuries, particularly in areas whe...

Original Investigation May 23/30, 2017 Association Between Teaching Status and Mortality in US Hospitals Laura G. Burke, Austin B. Frakt, Dhruv Khullar, et al. JAMA. 2017; 317(20): 2105-2113. doi:10.1001/jama.2017.5702 Abstract Importance 背景 Few studies have analyzed contemporary data on outcomes at US teaching hospitals vs nonteaching hospitals. 仅有很少的研究分析了美国教学医院与非教学医院患者预后的差异。 Objective 目的 To examine risk-adjusted outcomes for patien...

Intraoperative ketamine for prevention of postoperative delirium or pain after major surgery in older adults: an international, multicentre, double-blind, randomised clinical trial Michael S Avidan, Hannah R Maybrier, Arbi Ben Abdallah, et al. Lancet 2017 DOI: http://dx.doi.org/10.1016/S0140-6736(17)31467-8 Summary Background 背景 Delirium is a common and serious postoperative complication. Subanaesthetic ketamine is often administered intraoperatively for postoperati...

News & Perspective CDC: Legionnaires' at Healthcare Sites Is 'Widespread, Deadly' Marcia Frellick June 06, 2017 People are getting Legionnaires' disease from healthcare facilities — primarily long-term care facilities — in most parts of the country, Anne Schuchat, MD (RADM, USPHS), acting director of the Centers for Disease Control and Prevention (CDC), told reporters on a conference call Tuesday. Reports from 2015 in 20 states and New York City were studied and t...

News & Perspective C auris: CDC Warns of Institutional Spread, Updates Guidance Janis C. Kelly May 18, 2017 The emerging and often drug-resistant fungus Candida auris continues to spread in the United States, the Centers for Disease Control and Prevention (CDC) reported today. Less than a year after the first seven cases of C auris were reported in the United States, the agency now says there have been 77 patient cases, and another 45 cases have been identified v...