Decompressive craniectomy
Neuro-folks at LAC+USC Medical Centre describe outcomes for patients with traumatic brain injury without space-occupying haemorrhage who underwent decompressive craniectomy […]
All Updates, ICU, Resus, Trauma
Acute Med, All Updates
Balloon pump before PCI? Nah.
High risk patients benefit from pre-operative intra-aortic balloon counterpulsation (IABP) prior to coronary artery bypass surgery. Would the same apply […]
Acute Med, All Updates, Resus
ACE-inhibitor related angioedema
The pathophysiology of angiotensin-converting enzyme inhibitor (ACEi)–induced angioedema most likely resembles that of hereditary angioedema, ie, it is mainly mediated […]
Acute Med, All Updates, ICU, Resus
UK Capacity Assessment Mnemonic
GPs Drs Hoghton & Chadwick have produced a bioethical mnemonic ‘CURB BADLIP’, for all healthcare professionals in England, Scotland, and […]
Acute Med, All Updates, Guidelines, ICU, Resus
Delirium guidelines
The UK’s National Institute for Health and Clinical Excellence (NICE) has produced guidelines on delirium. Delirium (sometimes called ‘acute confusional […]
All Updates, PHARM, Resus
Compression-only CPR vs standard CPR
Two studies comparing compression-only CPR with conventional CPR: BACKGROUND: The role of rescue breathing in cardiopulmonary resuscitation (CPR) performed by […]
Resus
Cuffed vs. uncuffed tubes in kids
The debate considering cuffed vs uncuffed tracheal tubes in children continues in some centres. In my view the argument for […]
All Updates, Kids, PHARM, Resus
Weight formula for kids
The traditional ‘APLS formula’ for weight estimation in children based on age (wt in kg = [age+4] x 2) is […]
All Updates, ICU
T-piece SBT harder work
24 difficult to wean patients underwent three spontaneous breathing trials in random order, with PA catheter monitoring in place. T-piece […]
All Updates, ICU
Dexmedetomidine meta-analysis
Results from 24 studies on dexmedetomidine were assessed in a meta-analysis to determine the effect on ICU length of stay. […]