{"title":"[When caregivers become partners : preventing delirium].","authors":"Oussama Braun, Patrizia D'amelio, Anja Pattschull, Yvan Bourgeois, Mathieu Cretton, Jean Dumur, Cédric Mabire, Suzana Stamenkovic","doi":"10.53738/REVMED.2026.22.977.48531","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.48531","url":null,"abstract":"<p><p>Delirium is a common and potentially preventable complication in hospitalized older adults. Early detection requires interprofessional vigilance and caregiver involvement, as relatives are often the first to notice behavioral change. As part of the preparatory phase of an implementation project in an acute geriatric unit, this article presents a straightforward approach: educating caregivers about early signs, triggers, and practical prevention strategies. Delivered as a brief conversation, tailored to the caregiver's level of understanding and documented in the medical record, this educational intervention aims to improve caregivers' knowledge, support their involvement in early detection, and promote continuity between hospital and home. Its effects on delirium-related clinical outcomes remain to be evaluated.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1591-1595"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Osteoporosis: which management strategies in 2026?]","authors":"Saha Sadeghipour, Mathilde Romain, Emmanuel Biver, Noelle Junod Perron, Claire Ritz","doi":"10.53738/REVMED.2026.22.976.49150","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.976.49150","url":null,"abstract":"<p><p>Osteoporosis is a treatable chronic disease characterized by decreased bone strength and an increased risk of fractures. Due to its insidious progression, it often remains underdiagnosed until a fragility fracture occurs. This condition is associated with significant morbidity, including chronic pain, impaired quality of life, and loss of autonomy, as well as a substantial economic burden related to hospitalizations and increased mortality. Predominantly affecting women, osteoporosis remains largely undertreated, with approximately 80% of eligible women not receiving appropriate therapy. This article outlines diagnostic and therapeutic management strategies for primary care practice, with the aim of improving early detection and reducing the individual and societal burden of the disease.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 976","pages":"1534-1538"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Josepha Lekonya Salah Manoh, Tristan Gugler, Ivan Guerreiro, Florian Charbonnier, Johanna Sommer, Charlotte Pampurik
{"title":"[Asthma and COPD: what is new in their management in 2026?]","authors":"Josepha Lekonya Salah Manoh, Tristan Gugler, Ivan Guerreiro, Florian Charbonnier, Johanna Sommer, Charlotte Pampurik","doi":"10.53738/REVMED.2026.22.976.49162","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.976.49162","url":null,"abstract":"<p><p>Asthma and Chronic Obstructive Pulmonary Disease (COPD) are the most prevalent chronic respiratory diseases in Switzerland, but their diagnosis remains challenging. Recent updates in international management guidelines have led to revisions in diagnosis, classification, and therapeutic management. In asthma, diagnostic criteria and exams are better defined and hierarchized, biologic therapies currently play a central role in severe asthma management, and salbutamol reliever monotherapy is no longer recommended. In COPD, GOLD guidelines have simplified their patient stratification into 3 categories (A, B, and E) and a single moderate exacerbation is now sufficient for inclusion in the high exacerbation risk group (E). Exacerbation severity is now graded according to the Rome proposal framework.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 976","pages":"1530-1533"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Schmutz, Sylvain Benenati, François Jaulin, Sylvain Benenati, Donald Glowinski
{"title":"Urgences : et si le pilote écoutait la musique ?","authors":"Thomas Schmutz, Sylvain Benenati, François Jaulin, Sylvain Benenati, Donald Glowinski","doi":"10.53738/REVMED.2026.22.976.49023","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.976.49023","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 976","pages":"1560"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lorenzo Vizzolo, Cédric Luyet, Pierre Metrailler, Ouanes Amine Ben Saad, Corinne Grandjean-Progin, Alexandre Moser
{"title":"[Prehospital locoregional anesthesia].","authors":"Lorenzo Vizzolo, Cédric Luyet, Pierre Metrailler, Ouanes Amine Ben Saad, Corinne Grandjean-Progin, Alexandre Moser","doi":"10.53738/REVMED.2026.22.976.48061","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.976.48061","url":null,"abstract":"<p><p>Acute traumatic pain is a frequent challenge in out-of-hospital emergency medicine. The standard approach consist of intravenous (IV) analgesia and sedation. Locoregional anesthesia (LRA) is a potential alternative to analgosedation that remains underutilized. This article highlights the potential benefits of LRA in the prehospital setting through a clinical vignette and provides an overview of current practices. Training requirements and possible complications are discussed. The use of prehospital LRA in French-speaking Switzerland is also presented.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 976","pages":"1554-1557"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Le romiplostim efficace contre la thrombopénie induite par la chimiothérapie ?","authors":"Frédéric Naef","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 976","pages":"1559"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ismail Doner, Line Dao, Antoine David, Saskia Pellaton, Thierry Mach
{"title":"[Urethritis: screening and 2026 recommendations for primary care].","authors":"Ismail Doner, Line Dao, Antoine David, Saskia Pellaton, Thierry Mach","doi":"10.53738/REVMED.2026.22.976.49182","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.976.49182","url":null,"abstract":"<p><p>Sexually transmitted infections remain a major public health concern, including in Switzerland, where the number of gonorrhoea cases increased by 17% between 2023 and 2024. Urethritis is mainly caused by: Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium. Current strategies target screening of three populations: women under 25, men who have sex with men, and partners of confirmed cases. Self-sampling is a valid alternative to professional sampling. Doxy-PEP (Doxycycline Post-Exposure Prophylaxis), a new prevention tool, is effective against syphilis and chlamydia. Finally, financial and confidentiality barriers limiting access to care remain a major challenge.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 976","pages":"1544-1548"},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}