Open Fractures of the Lower Limb
Two major British surgical associations, the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Orthopaedic Association […]
All Updates, Guidelines, Trauma
All Updates
Securing infant tracheal tubes
Small head movements can cause significant tracheal tube migration in infants unless the tube is adequately secured. Many use a […]
Acute Med, All Updates, Guidelines
Thrombophilia screening
A young patient presents with pulmonary embolism. Should you send blood to the lab for a thrombophilia screen? What if […]
All Updates, PHARM, Resus, Trauma
Pre-hospital thoracotomy and aortic clamping in blunt trauma
This is one of those ‘wow they really do that!?‘ papers…Patients undergoing thoracotomy and aortic clamping for pre-hospital blunt traumatic […]
All Updates, ICU, Kids, Resus
Some causes of a raised lactate
A high serum lactate does not necessarily mean a bad prognosis: it all depends on the cause. I made this […]
All Updates, Kids, Resus
Paediatric ketamine sedation: adverse events
Records of 4252 patients aged 0-19 who received ketamine were reviewed for documented adverse events. Patients were all American Society […]
Acute Med, All Updates, Guidelines, Resus
Expiratory vs inspiratory films affects interpretation of pneumothorax guidelines
Radiographs of 49 spontaneous pneumothoraces were studied, showing that in the expiratory films, pneumothoraces were on average 9% larger. When […]
Acute Med, All Updates, Guidelines, ICU, Resus
Subarachnoid haemorrhage guidelines
Guidelines on Subarachnoid Haemorrhage are available from the American Heart Association / American Stroke Association. Most of the summaries are […]
All Updates, Guidelines, ICU
Standards for Capnography in Critical Care
The Intensive Care Society has published guidelines on the use of capnography in critical care. The recommendations are: Capnography should […]