Transfusion and ARDS
Blood transfusion in trauma is a risk factor for acute respiratory distress syndrome (ARDS). An analysis of 14070 patients in […]
All Updates, ICU, Resus, Trauma
All Updates, PHARM
BIS+HEMS
Bispectral index monitoring (BIS) was applied to 57 intubated patients transported by a Helcopter Emergency Medical Service (HEMS), demonstrating (1) […]
All Updates, ICU, PHARM, Resus, Trauma
Delays to neurosurgery
Further evidence from the UK shows that patients with acute traumatic brain injury suffer delays in the neurosurgical evacuation of […]
All Updates, PHARM
Airtraq use by paramedics
Paramedics intubated simulated patients positioned supine on the floor by direct laryngoscopy (DL) and by using the Airtraq device. Ventilation […]
All Updates, PHARM
Physicians in pre-hospital care
This systematic review by Scandinavian authors examined controlled studies comparing physician with non-physician treatment in pre-hospital care. Fourteen of the […]
All Updates, ICU
Ventilator-associated tracheobronchitis
Ventilator associated pneumonia (VAP) is a well recognised complication of ICU care, but colonisation and infection further up the respiratory […]
Acute Med, All Updates, ICU, PHARM, Resus
oxygen for myocardial infarction – harmful?
Hyperoxia may reduce coronary artery blood flow, increase systemic vascular resistance, and decrease cardiac output. This paper argues that if […]
All Updates, ICU, Resus
End expiratory occlusion
OBJECTIVE: During mechanical ventilation, inspiration cyclically decreases the left cardiac preload. Thus, an end-expiratory occlusion may prevent the cyclic impediment […]
All Updates, ICU
Dexmedetomidine vs midazolam
An industry-sponsored double-blind randomised controlled trial comparing midazolam with the central alpha-2 agonist dexmedetomidine showed the newer drug to provide […]
All Updates, ICU, Kids, PHARM, Resus
Neonatal prostaglandin E1 and apnoea
The risk of apnoea in neonates requiring prostaglandin E1 infusions for duct-dependent congenital heart disease is well described and often […]