Why I don't give vasopressors in sepsis
It’s become popular to use the term ‘vasopressors’ or just ‘pressors’ when noradrenaline/norepinephrine or even (in some places still) dopamine […]
Acute Med, All Updates, ICU, Kids, Resus
Fascinomata
Astronomy photographer of the year
Click below to see the BBC’s report of the Astronomy Photographer of the Year 2011 winners. Some gorgeous and awe-inspiring […]
Acute Med, All Updates, PHARM, Resus
Pre-hospital CPAP for pulmonary oedema
The physician-staffed mobile intensive care units of SAMU (Service d’Aide Médicale Urgente) in France provided the location for this randomised […]
All Updates, Guidelines, PHARM, Resus, Trauma
Prehospital Spine Immobilisation for Penetrating Trauma
The Executive Committee of Prehospital Trauma Life Support, comprised of surgeons, emergency physicians, and paramedics, has reviewed the literature and […]
All Updates, PHARM, Resus, Trauma
Pre-hospital thoracotomy
The London Helicopter Emergency Medical Service provides a physician / paramedic team to victims of trauma. One of the interventions […]
All Updates, PHARM, Resus, Trauma
Exsanguinating cardiac arrest not always fatal
The British Military has developed a reputation for aggressive pre-hospital critical care including (but not limited to) the use of […]
All Updates, PHARM, Resus, Trauma
Trauma mortality and systolic BP
Here’s some further evidence that a ‘lowish’ – as opposed to a low – systolic blood pressure is a reason […]
All Updates, ICU, PHARM, Resus, Trauma
Score to predict traumatic coagulopathy
Acute traumatic coagulopathy (ATC) is present in up to 25% of major trauma patients by the time they arrive in […]
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus
Still no cardiac arrest survival benefit from epinephrine?
A double blind randomised controlled trial showed significantly better rates of return of spontaneous circulation and hospital admission with the […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Pre-hospital ECMO
Two cases are reported of the pre-hospital institution of venoarterial extracorporeal membrane oxygenation (ECMO) for patients in cardiac arrest. One […]