Enoxaparin beats heparin for PCI
This is of interest to those of us in retrieval medicine, for logistic reasons: an infusion of heparin can be […]
Acute Med, All Updates, PHARM
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, ICU, Resus, Ultrasound
Posterior pericardiocentesis
Dr Emanuele Catena and colleagues report a case of an adult male who presented 7 days post cardiac surgery with […]
Acute Med, All Updates, PHARM, Resus, Ultrasound
Prehospital echo predicts arrest outcome
In hospital, the detection of cardiac standstill with ultrasound predicts a fatal outcome from cardiac arrest with a high degree […]
Acute Med, All Updates, ICU, Resus
β-2 agonists could worsen ARDS outcome
A previous study (BALTI-1) suggested β-2 agonists may help in ARDS by reducing extravascular lung water. A randomised trial in […]
Acute Med, All Updates, ICU, Resus
Vasopressin – what it does and doesn't do
The current Surviving Sepsis campaign guidelines recommend that vasopressin should not be administered as the initial vasopressor in septic shock, […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Ultrasound for pneumonia
Lung ultrasound done by a single keen individual had better test characteristics than CXR in diagnosing pneumonia as defined by […]
Acute Med, All Updates, ICU, Resus
Potassium levels and AMI death
An association is demonstrated between abnormal (both high and low) serum potassium levels and in-hospital mortality in patients with acute […]
Acute Med, All Updates, Guidelines, ICU, Kids, PHARM, Resus
Two new anaphylaxis guidelines
Many local and national guidelines for the management of anaphylaxis exist, but did you know there was a World Allergy […]
Acute Med, All Updates, ICU
Enoxaparin in acute medical patients
A large multinational study challenges the practice of routine thromboprophylaxis for hospitalised acutely ill medical patients. Enoxaparin plus graduated compression […]
Acute Med, All Updates, ICU, Kids, Resus
Treating sepsis – have we got it the wrong way round?
In our understanding of the pathophysiology of sepsis, we often attribute organ damage and death to the excessive host response […]