Decision instrument for head CT in children
A derivation then validation study was done on over 40000 children with head injuries to identify factors associated with clinically […]
All Updates, Kids, Resus
Acute Med, All Updates, ICU
NIV after extubation prevented respiratory failure
Spanish investigators compared NIV for 24 hours with conventional oxygen therapy in patients with chronic respiratory disorders who were extubated […]
All Updates, ICU
High versus low intensity renal replacement therapy
What’s the optimal dose of continuous renal replacement therapy? The Australasian RENAL investigators compared 25ml/kg/hr vs 40ml/kg/hr (effluent flow) of […]
All Updates, Kids
Hypothermia reduced cerebral palsy in asphyxiated newborns
An RCT of induced hypothermia to 33.5 degrees for 72 hours was undertaken in 625 newborns at least 36 weeks […]
ICU, Resus, Trauma
Burns formulas and fluid resuscitation
In most cases either the modified Brook formula or the Parkland formula was used for burned military casualties in Iraq […]
All Updates, Guidelines, Kids, Resus
New Paediatric DKA guidelines
The International Society for Paediatric and Adolescent Diabetes (ISPAD) has published new comprehensive guidelines, including those for diabetic ketoacidosis. Their […]
All Updates, Resus, Trauma
Successful trauma airway management
Of 6088 patients requiring intubation within the first hour of arrival at a Level 1 trauma centre, 21 (0.3%) required […]
All Updates, ICU, Resus
'Shock Room' belongs to both ED & ICU
Belgian authors describe a four-bedded ‘shock room’, situated between the ED and the ICU and managed jointly by ED and […]
Resus, Trauma
Rectal exam for urethral injury a waste of time?
Of 41 male patients with proven blunt urethral injury over a thirteen year period at a major trauma centre, only […]
All Updates, Kids, Resus
Small infant IJV cannulation tip
Simple taping using Transpore tape of the skin over the internal jugular vein insertion point increased IJV cross sectional area […]