ABCDE of ICU cognitive outcomes
Applying best evidence using simple easily remembered tools appeals to my small and busy brain. A system of minimising the […]
All Updates, ICU
All Updates, PHARM, Trauma
No benefit from pre-hospital trauma doctor in Holland
Being human, I suffer from confirmation bias: I’ve become aware that I’m always on the look out for studies that […]
Acute Med, All Updates, ICU, PHARM, Resus, Trauma
EZ-IO outperformed B.I.G
A small randomised trial of adult emergency department patients showed faster insertion and higher success rates with the EZ-IO compared […]
All Updates, PHARM, Trauma
Scene time not linked to outcome in large cohort
Okay – I admit to loving this paper, partly because it blows away the dogma of short scene times and […]
All Updates, PHARM, Trauma
Increased mortality with non-trauma centre care
A trauma database was analysed to see if patients who were transported from the field to a non-trauma centre (NTC) […]
Acute Med, All Updates, Resus, Ultrasound
Pulmonary embolism echo
Academic Emergency Medicine has a free article on sonographic detection of submassive pumonary embolism, with three video clips. One of […]
All Updates, Ultrasound
Another pneumoperitoneum
This Video from Academic Emergency Medicine shows distinct hyperechoic foci with reverberation artifacts visualised within free fluid, suggesting associated free […]
All Updates, ICU, Kids, PHARM, Resus
Peripheral vasoactive infusions
It is often recommended that vasoactive agents are infused via central lines because of the risk of infiltration and tissue […]
All Updates, ICU, PHARM, Resus, Trauma
rFVIIa did not reduce trauma mortality
An industry sponsored placebo-controlled multicentre randomised controlled trial has shown no mortality reduction from recombinant activated Factor VII (rFVIIa) in […]
All Updates, Kids, PHARM
Paediatric Tube Cuff Pressures
A paediatric critical care transport service encountered elevated tracheal tube cuff pressures (>30 cmH20) in 41% of 60 consecutive care […]