New STEMI guidelines
Primary percutaneous coronary intervention or fibrinolysis for STEMI? What if you don’t have PCI at your hospital? The new 2013 […]
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Ultrasound
Externally rotate leg for femoral vein access
Want to access the femoral vein? Externally rotate the leg at the hip and things might be a bit easier. […]
Acute Med, All Updates, ICU, Resus
Hyperglycaemia & mortality in sepsis – lactate dependent?
I like this paper for introducing a new concept to me. For years the critical care community has recognised the […]
Acute Med, All Updates, ICU, Kids, Resus
Etomidate & sepsis
A meta-analysis attempts to quantify etomidate’s effect on mortality and adrenal suppression. Of course, we all know a meta-analysis can […]
Acute Med, All Updates, ICU, Resus
Not just in ARDS
A ‘lung protective’ ventilation strategy that includes low tidal volumes has been shown to improve outcomes in patients with ARDS. […]
Acute Med, All Updates, ICU, Resus
Hydroxyethyl Starch vs Saline
Another nail in the coffin of starch solutions for critical care patients was banged in by Prof Myburgh and colleagues […]
Acute Med, All Updates, ICU, PHARM, Resus
What's with all the chloride? An assault on salt
I continue to be bewildered at my ED colleagues’ overwhelming preference for 0.9% saline as a resuscitation fluid regardless of […]
Acute Med, All Updates, ICU
Infectious biomarkers in the critically ill
A study examining patterns of procalcitonin in a group of critically ill patients(1) showed some interesting findings: Shock was associated […]
Acute Med, All Updates, ICU, Resus
Surgical treatment for acute massive pulmonary embolism
A recent paper reminds us that surgery is an option in the management of massive pulmonary embolism(1), to be considered […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Echocardiography in Pulmonary Embolism
I had great fun joining in a Google Hangout with the Ultrasound Podcast guys and some real masters of emergency/critical […]