Verapamil vs adenosine for SVT
Most people reach for the adenosine once vagotonic manouevres have failed in SVT, but some patients find the side effects […]
Acute Med, All Updates, ICU, Resus
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, ICU, PHARM, Resus
How much oxygen after ROSC?
I reported a previous JAMA publication demonstrating an association between hyperoxia and mortality in patients resuscitated post-cardiac arrest. The same […]
Acute Med, All Updates, ICU, PHARM, Resus
Paeds BVM for adult resuscitation
Three hand-ventilation systems were used in a simulated adult resuscitation to determine the delivered volumes. The mean minute ventilation delivered […]
Acute Med, All Updates, ICU, Resus
Dexamethasone for community acquired pneumonia
Another Dutch study has examined steroids for community acquired pneumonia, this time with the primary outcome measure being hospital length […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus, Trauma, Ultrasound
Central lines in coagulopathic patients
If a patient needs a central line, he/she needs one. Often low platelets or a deranged coagulation profile are cited […]
Acute Med, All Updates, ICU, Kids, Resus
Hyperkalaemia dogmalysis
One of the things I enjoy most is the dismantling of medical dogma. In his brilliant blog Precious Bodily Fluids, […]
Acute Med, All Updates, Guidelines, ICU, Resus
ACEP policy on PE
The American College of Emergency Physicians has revised its 2003 clinical policy on pulmonary embolism. Among the areas considered […]
Acute Med, All Updates, Resus
Erythropoietin for STEMI
In STEMI patients, intravenous erythropoietin within 4 hours of PCI did not reduce infarct size and was associated with higher […]
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus
Drugs in cardiac arrest – guess what works?
Just like epinephrine (adrenaline), amiodarone does not increase survival to hospital discharge in cardiac arrest patients. I doubt his will […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Thrombolysis in submassive PE – still equipoise?
The AHA has produced a comprehensive guideline on venous thromboembolic disease. Here are some excerpts pertaining to resuscitation room decision […]