AF in sepsis and risk of stroke
Atrial fibrillation can occur in the setting of severe sepsis, and often presents a therapeutic conundrum for critical care physicians, […]
Acute Med, All Updates, ICU, Resus
Resus
Life-saving medicine
Acute Med, All Updates, ICU, Kids, PHARM, Resus
2011 Asthma Guidelines
The British Thoracic Society / SIGN Guidelines on asthma have been updated for 2011. There don’t seem to be any […]
All Updates, ICU, PHARM, Resus
Preoxygenation and Prevention of Desaturation
This paper is an excellent review article citing the cogent relevant evidence for optimal preoxygenation prior to RSI in the […]
Acute Med, All Updates, Resus
Delayed diagnosis of aortic dissection
Being female or having atypical pain is associated with delays to diagnosis of aortic dissection. This recent study also shows […]
Acute Med, All Updates, ICU, Resus
Fluids contribute to acid-base disturbance on ICU
I enjoyed a paper from Critical Care Medicine this month which relates to a major bugbear of mine: the prescription […]
Acute Med, All Updates, ICU, PHARM, Resus
咽反射是沒用的 – just as we thought
The painful dogma of “GCS ≤8 = intubate” is nicely challenged by the A&E Academic Unit at Prince of Wales […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Oxygen therapy for asthma can elevate CO2
Patients with acute exacerbations of asthma randomised to receive high concentration oxygen therapy showed a greater rise in CO2 than […]
Acute Med, All Updates, ICU, Resus
Xigris withdrawn
Pharmaceutical company Eli Lilly has announced the withdrawal of its severe sepsis drug activated protein C, or drotrecogin alfa (proprietary […]
Acute Med, All Updates, ICU, Resus
'Cryptic shock' important but not always very cryptic
Patients with severe sepsis and an elevated lactate who appear to be normotensive had a mortality similar to those presenting […]
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 […]