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, Guidelines, ICU, Resus
ICU
Stuff relevant to patients on ICU
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 […]
All Updates, ICU, Kids, Resus
Hypotonic Versus Isotonic Fluids After Surgery for Children
Kids in hospital with injury, infection or other illness, and those undergoing the physiological stress of surgery, produce (appropriately) elevated […]
All Updates, ICU, Kids, Ultrasound
Not a pin cushion
This is the daughter of my friend. Avery is only seven months old and has survived a critical illness and […]
Acute Med, All Updates, ICU, PHARM, Resus
End-Tidal CO2 as a Predictor of Cardiac Arrest Survival
In one of largest studies to date of prehospital capnography in cardiac arrest, an initial EtCO2 >10 mmHg (1.3 kPa) […]
Acute Med, All Updates, ICU, Resus
Nitrate bolus in acute heart failure
Despite intravenous nitrate boluses being used in original studies demonstrating benefit in acute heart failure1,2, I regularly meet reluctance from […]
All Updates, ICU, Kids
Passive leg raise predicted fluid responsiveness in kids
Passive leg raising (PLR) is a great ‘free reversible fluid challenge’ to see if a shocked or hypotensive patient is […]
All Updates, ICU, Resus
Non-invasive BP in shock
In the management of the shocked patient, we sometimes get a little fixated on the need for an arterial line. […]