IVC collapse depends on breathing pattern
A high degree of sonographically-visualised collapse of the inferior vena cava (IVC) during inspiration suggests a volume-responsive cardiac output. This […]
All Updates, Resus, Ultrasound
All Updates, Resus
Alfentanil for Procedural Sedation
An evaluation of single-agent alfentanil for procedural sedation in the ED has been published by the team at Hennepin County […]
All Updates, PHARM
EMS makes a difference
A Position Statement of the National Emergency Medical Services Advisory Council summarises the substantial evidence base documenting improved patient outcomes […]
Acute Med, All Updates, ICU, PHARM, Resus
In V.Fib and talking to you!
Some patients with severe refractory heart failure are kept alive thanks to implantable pumps such as the left ventricular assist […]
Acute Med, All Updates, Resus
TIA workup renders ABCD2 unhelpful
ABCD2 is recommended to stratify the risk of stroke in patients presenting to the ED with TIA symptoms. In some […]
All Updates, Resus
Midazolam smoothens adult ketamine sedation
In adults undergoing procedural sedation with ketamine, 0.03 mg/kg IV midazolam reduced recovery agitation compared with placebo. STUDY OBJECTIVE: We […]
All Updates, ICU, PHARM, Resus
Pre-hospital RSI and single use blades
Single-use metal laryngoscope blades were compared in a randomised trial in the pre-hospital setting by French SAMU physicians. First-pass intubation […]
Acute Med, All Updates, PHARM
Delayed door-to-balloon even with helicopters
For a whole bunch of reasons, patients with ST-elevation myocardial infarction who undergo interhospital transfer for primary percutaneous coronary intervention […]
Acute Med, All Updates, ICU
H1N1 or CAP?
A scoring system composed of clinical, radiological, and laboratory variables purports to distinguish H1N1 influenza virus infection from community acquired […]
All Updates, ICU, Resus
Rocuronium vs suxamethonium
This short but punchy lecture by Reuben Strayer of the excellent Emergency Medicine Updates blog addresses some dogma and tells […]