Don't ignore the diastolic
Most of us are pretty good at spotting hypotension and activating help or initiating therapy. But ‘hypotension’ in many practitioners’ […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Acute Med
Acute care of the medically sick adult
Acute Med, All Updates, ICU, PHARM, Resus
COPD and heart disease interactions
Ischaemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD) often affect the same patient; in fact, more than one-third […]
Acute Med, All Updates, Kids, Resus, Trauma
Life, limb and sight-saving procedures
The challenge of competence in the face of rarity by Dr Cliff Reid FCEM, and Dr Mike Clancy FCEM This […]
Acute Med, All Updates, ICU
Unknown unknowns and pleural effusions
There are plenty of unknowns when it comes to management of pleural effusions on the ICU, which led to a […]
Acute Med, All Updates, Guidelines, ICU, Resus
Upper GI bleeding guideline update
The UK’s National Institute for Health and Clinical Excellence has issued updated guidance on the management of acute upper gastrointestinal […]
Acute Med, All Updates, ICU, Resus
Confidential stuff – in hospital cardiac arrests
A new report describes room for improvement in the care of cardiac arrest patients in hospital1. The National Confidential Enquiry […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Is diastolic worse than systolic dysfunction in sepsis?
Septic myocardial dysfunction is a well recognised contributor to shock in sepsis but for many of us we assume this […]
Acute Med, All Updates, ICU, Resus
Thrombolytic Therapy in Unstable Patients with PE
Most of us would give strong consideration to giving thrombolytics to patients with massive pulmonary embolism (PE), which is in […]
Acute Med, All Updates, PHARM, Resus
T waves in V1-V3 were not associated with badness
This long term follow up study showed that T-wave inversions in right precordial leads are not associated with adverse outcome. […]
Acute Med, All Updates, Guidelines, PHARM, Resus
Nonshockable arrest survival improves with uninterrupted compressions
A study of nonshockable out of hospital cardiac arrest survival showed significant improvement in short- and long-term survival and neurological […]