Facilitated pericardial drainage
Drs Wyatt and Haugh describe a modified resuscitative thoracotomy technique which provided surgically facilitated pericardial drainage. A patient with a […]
Acute Med, All Updates, Resus
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, ICU, Resus
Magnesium doesn't improve SAH outcome
A multicentre RCT showed intravenous magnesium sulphate does not improve clinical outcome after aneurysmal subarachnoid haemorrhage, therefore routine administration of […]
Acute Med, All Updates, ICU, Resus
More on the meaning of lactate values
A newly published study(1) reminds us that we need to do better than just identify a raised lactate in patients […]
Acute Med, All Updates, ICU, Resus
Flumazenil for BZD overdose: getting away with it
Standard teaching in benzodiazepine (BZD) overdose is that the reversal agent flumazenil is best avoided because of the risk of […]
Acute Med, All Updates, Resus
Emergency physicians providing stroke 'lysis in the UK
Although the worldwide emergency medicine community is split in its support for stroke thrombolysis, those who work in centres where […]
Acute Med, All Updates, ICU, Resus
Extracorporeal cardiopulmonary resuscitation
You have a patient in cardiac arrest who has had excellent resuscitation from the point of collapse, and who has […]
Acute Med, All Updates, ICU, Kids, Resus, Trauma
Superglue for CVCs
In resuscitation situations, the securing of vascular catheters is an important but sometimes cumbersome process, particular when sutures are required […]
Acute Med, All Updates, ICU, PHARM, Resus
Hypothermia after long down times
You receive a patient resuscitated from cardiac arrest to a perfusing rhythm in your emergency department. History suggests a long […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Hyperosmolar therapy
A great review article from the New England Journal of Medicine summaries the current knowledge base regarding the use of […]
Acute Med, All Updates, ICU, Resus
The opposite of acute kidney injury?
Prescribing in the critically ill patient can be a challenge due to a number of factors impacting on pharmacology: variable […]