Blood pressure target in septic shock
A study comparing mean arterial pressure (MAP) targets of 80 to 85 mm Hg (high-target group) with 65 to 70 […]
Acute Med, All Updates, ICU, Resus
Acute Med, All Updates, Guidelines, ICU, Resus
No Benefit From Early Goal Directed Therapy
The first of three major trials assessing early goal directed therapy (EGDT) in sepsis – the American ProCESS Trial – […]
Acute Med, All Updates, ICU, Resus
Use a table for selecting PEEP in ARDS
Selecting the right amount of PEEP to recruit collapsed alveoli in patients with ARDS is important but the best method […]
All Updates, ICU, Kids, PHARM, Resus
i-STAT® analysis of intraosseous aspirate
In the absence of vascular access we may resort to sending intraosseous aspirates for analysis, but in some laboratories there […]
All Updates, Guidelines, ICU, Kids, PHARM, Resus
Is 4 Joules per kg enough in kids?
Researchers from the Iberian-American Paediatric Cardiac Arrest Study Network challenge the evidence base behind defibrillation shock dose recommendations in children. […]
All Updates
Modernising ED sedation practice with evidence
I think some EDs still have an overcautious ‘ASA 1 or 2 only’ criterion for procedural sedation, which makes no […]
Acute Med, All Updates, ICU, PHARM, Resus
The 'Magic Eye®' method of rhythm assessment
Are you someone who tries to determine whether an ECG trace is ‘irregularly irregular’ by drawing little dots on a […]
Acute Med, All Updates, PHARM, Resus
Not finding a difference doesn't prove equivalence
The recent LINC trial was a randomised controlled trial comparing a mechanical chest compression device (LUCAS) with manual CPR(1). “No […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Does RV enlargement on echo predict PE?
A nice paper from Annals of Emergency Medicine showing the test characteristcs of some of the common signs we look […]
All Updates
How You Train is How You Fight
Simulation makes us more effective. I think it’s good to consider how one would deal with emergency situations in every […]