Extreme white cell counts
Febrile children aged three months to three years with a white cell count over 25000/mm3 and fever were compared with […]
All Updates, Kids
All Updates
All Updates, ICU, Resus, Trauma
NIV in chest trauma
ICU patients with thoracic trauma who had no other indication for intubation than marked hypoxaemia (pO2/FiO2 < 200 mmHg) were […]
Acute Med, All Updates
A smaller dose of tPA in PE
A prospective open label randomised controlled trial from China compared two doses of r-tPA for massive or submassive PE. 50 […]
All Updates, ICU, Resus
The right antibiotic in septic shock makes a massive difference
A retrospective review of appropriate vs inappropriate antimicrobial therapy was undertaken in over four thousand septic shock patients from multiple […]
All Updates
Is ETT muck delaying weaning?
Organised secretions can build up in a tracheal tube. This increases airway resistance so during a spontaneous breathing trial in […]
All Updates, PHARM
College of Paramedics stands its ground
Articles in this month’s EMJ demonstrate an interesting conflict within UK pre-hospital care. The Joint Royal Colleges Ambulance Liaison Committee […]
All Updates, Guidelines, Trauma
Guidelines on penetrating abdominal trauma
The Eastern Association for the Surgery of Trauma has published guidelines on the nonoperative management of penetrating abdominal trauma. RECOMMENDATIONS […]
Acute Med, All Updates, Guidelines, Kids
WHO Guidelines for Pandemic Influenza A(H1N1) 2009
The World Health Organisation has published updated guidelines on drug treatment of Influenza A(H1N1)2009 and other influenza viruses. Their recommendations […]
All Updates, ICU, Trauma
CT cervical spine in obtunded trauma patients
Prolonged collar use and spinal immobilisation in ICU patients can contribute to pressure sores, increased intracranial pressure, venous obstruction, difficulties […]
Acute Med, All Updates, Ultrasound
Echo best test for acute LVF in ED
Three diagnostic tests for acute left ventricular heart failure in dyspnoeic patients were compared, with the gold standard being the […]