Feynman's Beauty
Dr Feynman talking about beauty is, well…beautiful
Acute Med, All Updates, Guidelines, ICU, Kids, Resus
Offensive medicine: CT before LP
I’m getting worn down by clinicians – often other specialists – who insist that CT imaging of the brain is […]
Acute Med, All Updates, ICU, Kids, Resus
Salicylate poisoning and pseudohyperchloraemia
Severe salicylate poisoning can cause metabolic acidosis from an accumulation of salicylic acid, lactic acid, and ketone bodies. A high […]
All Updates, Resus
Oxygen prevented hypoxia. Yep.
Why wouldn’t you give oxygen prophylactically to someone undergoing procedural sedation? One argument is that this will delay the detection […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Easy rapid infusion set up
Here’s a nice and simple set up for rapid iv infusions using simple cheap equipment Full details at the Scandinavian […]
All Updates, ICU, Resus
Delta CVP with PEEP and fluid responsiveness
I’ve been (and remain) critical of the use of CVP to determine ‘filling status’ or more accurately volume-responsiveness, even using […]
All Updates, ICU, Kids, Resus
Is there nothing ketamine can't do?
As well as the benefits of cardiovascular stability, maintenance of cerebral perfusion pressure, possibly lowering ICP and providing other neuroprotective […]
Fascinomata
Zap!
Check out this picture of lightning over the Grand Canyon, from http://www.danransom.com/TripReports/ Stunning. Tweet
All Updates, PHARM, Resus, Trauma
Lateral trauma position
The tradition of transporting trauma patients to hospital in a supine position may not be the safest approach in obtunded […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Capillary refill time
A review of capillary refill time (CRT) reveals some interesting details about this test: CRT is affected by age – […]