Do all comatose patients need intubation?
In non-trauma patients, do you base your decision to intubate patients with decreased conscious level on the GCS? These guys […]
All Updates, ICU, Resus
All Updates, PHARM, Resus
Is defibrillation an electric threat for bystanders?
No rescuer or bystander has ever been seriously harmed by receiving an inadvertent shock while in direct or indirect contact […]
All Updates, ICU, Ultrasound
Oblique view for IJV cannulation
Simple really. Using the transverse view the needle tip can be hard to visualise. In the longitudinal view you don’t […]
Acute Med, All Updates, Kids, Resus
10 ml syringe for Valsalva manoeuvre
Previous studies have suggested the following are necessary for a successful Valsalva manoeuvre with maximum vagal effect: Supine posturing Duration […]
All Updates, PHARM
Stopping infusions before PCI transfer
An interhospital transport service introduced a no infusions policy for patients being transferred for primary coronary intervention, instead giving a […]
All Updates, PHARM, Trauma
Better TBI outcome with HEMS
A retrospective study from Italy compared outcomes of head injured patients cared for by a ground ambulance service (GROUND) with […]
All Updates, Resus
5 Cycles of CPR takes 2 minutes
Newly trained BLS providers were more likely to spend two minutes counting 5 cycles of 30:2 compression:ventilation than to correctly […]
Acute Med, All Updates, Resus
Abnormal head CT in altered mental status
In a study of 674 patients with altered mental status who received a CT scan of the brain, logistic regression […]
All Updates, ICU, Resus
EGDT sepsis bundle challenged
An article in American Journal of Emergency Medicine by two intensivists challenges the science behind Rivers’ early goal-directed therapy (EGDT) […]
Acute Med, All Updates, Resus
Biphasic shocks for AF and Atrial flutter
Based on a study of 453 consecutive patients undergoing their first transthoracic electrical cardioversion for atrial tachyarrhythmias, recommendations were developed to […]