Pharmaconutrition for Acute Lung Injury
A trial by the ARDS Clinical Trials Network of pharmaconutrition for acute lung injury1 was stopped early for futility – […]
All Updates, ICU
ICU
Stuff relevant to patients on ICU
Acute Med, All Updates, ICU, PHARM, Resus
Pre-hospital hypertonic saline during ACLS
A newly published study examines pre-hospital hypertonic saline during CPR. A randomised trial compared 7.2% hypertonic saline / hydroxyethyl starch […]
Acute Med, All Updates, ICU, Resus
Cardiac arrest caused by subarachnoid haemorrhage
We know that subarachnoid haemorrhage (SAH) can cause cardiac arrest. Some questions we may have about this are: Questions What […]
Acute Med, All Updates, ICU, Resus, Trauma
Reversing new oral anticoagulants
A small study on normal volunteers examined reversal of the new oral anticoagulants, Rivaroxaban and Dabigatran. Rivaroxaban is a Factor […]
Acute Med, All Updates, Guidelines, ICU, Resus
Myoclonus no longer a show-stopper
In comatose survivors of cardiac arrest, myoclonus is considered a grave prognostic sign. The American Academy of Neurology stated in […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus
Offensive medicine: CT before LP
I’m getting worn down by clinicians – often other specialists – who insist that CT imaging of the brain is […]
Acute Med, All Updates, ICU, Kids, Resus
Salicylate poisoning and pseudohyperchloraemia
Severe salicylate poisoning can cause metabolic acidosis from an accumulation of salicylic acid, lactic acid, and ketone bodies. A high […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Easy rapid infusion set up
Here’s a nice and simple set up for rapid iv infusions using simple cheap equipment Full details at the Scandinavian […]
All Updates, ICU, Resus
Delta CVP with PEEP and fluid responsiveness
I’ve been (and remain) critical of the use of CVP to determine ‘filling status’ or more accurately volume-responsiveness, even using […]
All Updates, ICU, Kids, Resus
Is there nothing ketamine can't do?
As well as the benefits of cardiovascular stability, maintenance of cerebral perfusion pressure, possibly lowering ICP and providing other neuroprotective […]