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, Kids, PHARM, Resus, Ultrasound
ICU
Stuff relevant to patients on ICU
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 […]
All Updates, ICU, PHARM, Resus, Ultrasound
Echo for cardiac arrest outcome prediction
A meta-analysis of studies evaluation transthoracic echo as a means of predicting return of spontaneous circulation in cardiac arrest (ROSC) […]
All Updates, ICU, PHARM, Resus
Aeromedical retrieval: invasive vs noninvasive blood pressure
The chaps from the Emergency Medical Retrieval Service in the UK compared invasive (IABP) and non-invasive blood pressure (NIBP) measurements […]
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 […]
All Updates, Guidelines, ICU, PHARM, Resus, Trauma
A whole bunch of trauma guidelines
The Eastern Association for the Surgery of Trauma has published a number of helpful evidence-based guidelines for trauma management, and […]
All Updates, ICU, PHARM, Resus, Trauma
Needle decompression: it's still not going to work
A pet topic that keeps coming up here is management of tension pneumothorax. Plenty of studies demonstrate that traditionally taught […]
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. […]
All Updates, ICU, Kids, PHARM, Resus
Don't bronchodilators work in infants?
Inpatient paediatric teams can be scornful when bronchodilators are given by ED staff to wheezing infants, correctly referring to the […]
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 […]