Fluid Flow Through Intravenous Cannulae
Published flow rates for cannulae are derived from a test in which fluid runs through a perfectly straight cannula into […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
ICU
Stuff relevant to patients on ICU
All Updates, ICU, PHARM, Resus, Trauma
ETCO2 all over the place in trauma
In 180 intubated trauma patients in the ED, there was little correlation between arterial carbon dioxide tension (PaCO2) and end-tidal […]
All Updates, ICU, Resus, Trauma
Blood product ratios and survival bias
Haemostatic resuscitation of trauma patients, using high ratios of fresh frozen plasma (FFP) to packed red cells (PRBC), is growing […]
All Updates, ICU, Resus, Trauma
Sodium lactate for raised ICP
Lactate may be an important metabolic substrate for injured brain and sodium lactate may have beneficial effects on cerebral oedema […]
Acute Med, All Updates, ICU, PHARM, Resus
Is defib danger overstated
No rescuer or bystander has ever been seriously harmed by receiving an inadvertent shock while in direct or indirect contact […]
All Updates, ICU, Resus, Trauma
Transfusion and ARDS
Blood transfusion in trauma is a risk factor for acute respiratory distress syndrome (ARDS). An analysis of 14070 patients in […]
All Updates, ICU, PHARM, Resus, Trauma
Delays to neurosurgery
Further evidence from the UK shows that patients with acute traumatic brain injury suffer delays in the neurosurgical evacuation of […]
All Updates, ICU
Ventilator-associated tracheobronchitis
Ventilator associated pneumonia (VAP) is a well recognised complication of ICU care, but colonisation and infection further up the respiratory […]
Acute Med, All Updates, ICU, PHARM, Resus
oxygen for myocardial infarction – harmful?
Hyperoxia may reduce coronary artery blood flow, increase systemic vascular resistance, and decrease cardiac output. This paper argues that if […]
All Updates, ICU, Resus
End expiratory occlusion
OBJECTIVE: During mechanical ventilation, inspiration cyclically decreases the left cardiac preload. Thus, an end-expiratory occlusion may prevent the cyclic impediment […]