Oxygen therapy for asthma can elevate CO2
Patients with acute exacerbations of asthma randomised to receive high concentration oxygen therapy showed a greater rise in CO2 than […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, ICU, Resus
Xigris withdrawn
Pharmaceutical company Eli Lilly has announced the withdrawal of its severe sepsis drug activated protein C, or drotrecogin alfa (proprietary […]
Acute Med, All Updates, ICU, Resus
'Cryptic shock' important but not always very cryptic
Patients with severe sepsis and an elevated lactate who appear to be normotensive had a mortality similar to those presenting […]
Acute Med, All Updates, ICU, PHARM, Resus
Pre-hospital hypertonic saline during ACLS
A newly published study examines pre-hospital hypertonic saline during CPR. A randomised trial compared 7.2% hypertonic saline / hydroxyethyl starch […]
Acute Med, All Updates, ICU, Resus
Cardiac arrest caused by subarachnoid haemorrhage
We know that subarachnoid haemorrhage (SAH) can cause cardiac arrest. Some questions we may have about this are: Questions What […]
Acute Med, All Updates, ICU, Resus, Trauma
Reversing new oral anticoagulants
A small study on normal volunteers examined reversal of the new oral anticoagulants, Rivaroxaban and Dabigatran. Rivaroxaban is a Factor […]
Acute Med, All Updates, Guidelines, ICU, Resus
Myoclonus no longer a show-stopper
In comatose survivors of cardiac arrest, myoclonus is considered a grave prognostic sign. The American Academy of Neurology stated in […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus
Offensive medicine: CT before LP
I’m getting worn down by clinicians – often other specialists – who insist that CT imaging of the brain is […]
Acute Med, All Updates, ICU, Kids, Resus
Salicylate poisoning and pseudohyperchloraemia
Severe salicylate poisoning can cause metabolic acidosis from an accumulation of salicylic acid, lactic acid, and ketone bodies. A high […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Easy rapid infusion set up
Here’s a nice and simple set up for rapid iv infusions using simple cheap equipment Full details at the Scandinavian […]