Preparing your emergency department for pandemic 'flu
Ten points to consider in preparation for pandemic influenza * Ensure emergency department representation at the Trust level. * Talk […]
Acute Med
Acute Med
Pleural effusions – exudate or transudate?
Light’s criteria may misclassify some transudates as exudates. Measuring NT-Pro BNP in pleural fluid may identify heart failure-associated effusions Chest. […]
Acute Med, Resus
Acute Kidney Injury Survivors – What happens next?
What happens to acutely ill patients with acute kidney injury requiring in-hospital dialysis after their acute admission? How many recover […]
Acute Med
Immediate vs Delayed Intervention for NSTEACS
An early invasive strategy is recommended for high risk non-ST elevation acute coronary syndrome (ST/T wave changes, ongoing symptoms, or […]
Acute Med
Clopidogrel and PPIs
PPIs such as omeprazole affect the pharmacodynamics of thienopyridines such as clopidogrel, but this does not seem to affect clinical […]
Acute Med
Sensitive troponin improves early detection of AMI
Newer sensitive troponin assays (detecting 0.04 ng/ml troponin I) showed better senstivity at detecting acute myocardial infarction at 0 amp; […]
All Updates, ICU, PHARM, Resus
Paeds BVM for adult resus
Smaller self-inflating bags produce greater guideline consistent ventilation in simulated cardiopulmonary resuscitation A comparison between two sizes of self-inflating resuscitation […]
All Updates, PHARM, Trauma
Prehospital management of severe traumatic brain injury
Prehospital management of severe traumatic brain injury A review of current practice and evidence base of this important topic can […]
All Updates, PHARM, Trauma
London's getting worse
The physician-led pre-hospital service London HEMS examined its penetrating trauma caseload between 1991 and 2006. Overall, stabbings rose annually by […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Ad hoc resus teams less effective
During simulated cardiac arrest resuscitations, a comparision was made between those run by teams that had had time to form […]