Tension pneumo treatment and chest wall thickness
An interesting ultrasound-based study challenges the assertion that a significant proportion of adults have a chest wall that is too […]
All Updates, PHARM, Resus, Trauma, Ultrasound
All Updates
Saving Lives Through Failure
Think about what you would do if faced with the following situation: You sedate and paralyse a patient with severe […]
Acute Med, All Updates, Resus
Needle versus mini-chest tube for pneumothorax
A mini-chest tube with Heimlich valve was an alternative to needle aspiration in patients with spontaneous pneumothorax, with some apparently […]
Acute Med, All Updates, ICU, Resus
AF in sepsis and risk of stroke
Atrial fibrillation can occur in the setting of severe sepsis, and often presents a therapeutic conundrum for critical care physicians, […]
Acute Med, All Updates
AMI mortality increased as the number of risk factors declined
An interesting finding: in patients with myocardial infarction, hospital mortality increased consistently as the number of risk factors declined. There […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
2011 Asthma Guidelines
The British Thoracic Society / SIGN Guidelines on asthma have been updated for 2011. There don’t seem to be any […]
All Updates, ICU, PHARM, Resus
Preoxygenation and Prevention of Desaturation
This paper is an excellent review article citing the cogent relevant evidence for optimal preoxygenation prior to RSI in the […]
Acute Med, All Updates, Resus
Delayed diagnosis of aortic dissection
Being female or having atypical pain is associated with delays to diagnosis of aortic dissection. This recent study also shows […]
Acute Med, All Updates, ICU, Resus
Fluids contribute to acid-base disturbance on ICU
I enjoyed a paper from Critical Care Medicine this month which relates to a major bugbear of mine: the prescription […]
Acute Med, All Updates, ICU, PHARM, Resus
咽反射是沒用的 – just as we thought
The painful dogma of “GCS ≤8 = intubate” is nicely challenged by the A&E Academic Unit at Prince of Wales […]