pain radiation to right arm in ACS
How predictive is the history for acute coronary syndrome? Of 1576 patients entered into a multicentre evaluation of chest pain […]
Acute Med, All Updates
All Updates
All Updates, Guidelines, Trauma
Confidentiality: reporting gunshot and knife wounds
The UK General Medical Council provides guidance on the reporting to police of gun and knife wounds. The guidance describes […]
Acute Med, All Updates, Guidelines
Acute Kidney Injury: Must Do Better!
A report from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) examines the quality of care of patients […]
All Updates, Guidelines, Resus
Snake bite guidelines
I saw a patient bitten by a brown snake this week. Wound swab positive for brown snake venom but fortunately […]
All Updates, Kids, Resus
Paraldehyde in Paediatric Status Epilepticus
Data were collected on 53 episodes of paraldehyde use in tonic-clonic status epilepticus, which showed it appeared to be effective […]
All Updates
Neonatal Emergencies
‘THE MISFITS’ is a popular mnemonic to assist in identifying the cause of critical illness in the neonatal period. T […]
All Updates
Failure to Thrive
Infants whose weight does not increase as normally expected or those who lose weight should be investigated for four different […]
All Updates, ICU, Resus
Best way to insert NG tube in intubated patients
A randomised controlled trial on 200 anaesthetised, tracheally intubated adults compared four methods of nasogastric tube placement, looking at success […]
All Updates, PHARM, Resus, Trauma
Thoracostomy in blunt traumatic arrest
37 patients with blunt traumatic cardiac arrest underwent attempted resuscitation by a HEMS crew over a four year period. Chest […]
All Updates, PHARM, Trauma
Not such a B.I.G. success in the field?
Success rates with the bone injection gun were 71% (10 out of 14) in children <16 years and 73% (19 […]