Petechial spots usually benign
An Iranian study showed 10% of afebrile well appearing infants had petechiae and they remained well on follow up. This […]
All Updates, Kids
All Updates
All Updates, Resus, Trauma, Ultrasound
Ultrasound of intracranial haematoma
Using a 2Mhz transducer insonating through the temporal acoustic bone window, Italian physicians detected the expansion of an extradural haematoma. […]
All Updates, Guidelines, Kids, Resus
New College Ketamine Guideline
The College of Emergency Medicine (UK) has updated its guideline on ketamine sedation in children. The summary is copied below […]
All Updates
Sucking chest wound
The old idea of three-sided taping of an occlusive dressing to treat open / sucking chest wounds has been replaced […]
All Updates, Guidelines, PHARM, Resus, Trauma
Tactical Combat Casualty Care
The brave men and women of the military not only risk their lives for us – they also provide a […]
All Updates, ICU, Kids, PHARM, Resus
Less RSI desaturation with Roc
Some of my pre-hospital critical care colleagues in the UK exclusively use rocuronium in preference to suxamethonium for rapid sequence […]
Acute Med, All Updates, Guidelines
NICE Alcohol Guidelines
The UK’s National Institute for Health and Clinical Excellence (NICE) has produced guidelines on alcohol-related physical complications, including alcohol withdrawal […]
Acute Med, All Updates
MRA for PE not very good
Wouldn’t it be great to have a reliable, radiation-free way to diagnose pulmonary embolism? Unfortunately, Magnetic Resonance Angiography is not […]
Acute Med, All Updates, ICU
High-Dose N-Acetylcysteine Therapy for H1N1
A case report describes the improvement of a critically ill patient with H1N1 ‘flu after the administration of N-acetylcysteine in […]
Acute Med, All Updates, Resus
Steroids for pneumonia?
Steroids are useful in asthma and COPD exacerbations, which are lung problems. Pneumonia is a lung infection, so steroids might […]