End-Tidal CO2 as a Predictor of Cardiac Arrest Survival
In one of largest studies to date of prehospital capnography in cardiac arrest, an initial EtCO2 >10 mmHg (1.3 kPa) […]
Acute Med, All Updates, ICU, PHARM, Resus
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, PHARM, Resus
Nebulised naloxone
This appears to be a useful option when iv access is difficult and the patient is relatively stable. The protocol […]
Acute Med, All Updates, ICU, Resus
Nitrate bolus in acute heart failure
Despite intravenous nitrate boluses being used in original studies demonstrating benefit in acute heart failure1,2, I regularly meet reluctance from […]
Acute Med, All Updates, ICU, PHARM, Resus
In CPR depth is good, but how deep to compress?
Some defibrillators have accelerometers capable of measuring chest compression depth during CPR. This allowed a study correlating compression depth with […]
Acute Med, All Updates, ICU, Resus, Trauma
Red cell transfusion guidelines
The AABB (formerly the American Association of Blood Banks has issued guidelines on red blood cell transfusion1, providing some number-based […]
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus, Trauma, Ultrasound
International recommendations for lung ultrasound
A multidisciplinary panel of 28 experts from eight countries reviewed the literature and came up with consensus guidelines in point-of-care […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus
Clotbusting wisdom on tap – your questions answered
The prevention and management of venous thromboembolic disease is a huge topic, which generates questions for emergency, critical care, and […]
Acute Med, All Updates, ICU, Resus
Dobutamine for severe heart failure – more harm than good?
A systematic review and meta-analysis of randomised controlled trials showed dobutamine is not associated with improved mortality in heart failure […]
Acute Med, All Updates, Guidelines, PHARM, Resus
Epinephrine in cardiac arrest reanalysed
A post hoc reanalysis was performed on a 2009 JAMA paper comparing patients randomised to receive or not receive prehospital […]
Acute Med, All Updates, PHARM
Prehospital IM midazolam for seizures
Intramuscular midazolam is at least as safe and effective as intravenous lorazepam for the prehospital management of status epilepticus. In […]