How about pre-hospital tranexamic acid?
The CRASH 2 trial showed improved outcomes in trauma from the administration of the antifibrinolytic drug tranexamic acid. A further […]
All Updates, ICU, PHARM, Resus, Trauma
Resus
Life-saving medicine
Acute Med, All Updates, ICU, Resus
Dexamethasone for community acquired pneumonia
Another Dutch study has examined steroids for community acquired pneumonia, this time with the primary outcome measure being hospital length […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus, Trauma, Ultrasound
Central lines in coagulopathic patients
If a patient needs a central line, he/she needs one. Often low platelets or a deranged coagulation profile are cited […]
All Updates, ICU, PHARM, Resus
Tympanic monitoring for targeted temperature management
As the authors of this study point out, the reliability of tympanic temperature monitoring is still under debate. Since invasive […]
All Updates, Guidelines, ICU, Kids, Resus, Trauma
UK Radiology guidelines for trauma
The Royal College of Radiologists in the UK has published a guideline document to set standards related to diagnostic and […]
Acute Med, All Updates, ICU, Kids, Resus
Hyperkalaemia dogmalysis
One of the things I enjoy most is the dismantling of medical dogma. In his brilliant blog Precious Bodily Fluids, […]
All Updates, Guidelines, ICU, Resus
Targeted temperature management guidelines
Okay – rather than ‘therapeutic hypothermia’, the recommended phrase now is ‘targeted temperature management’. Several critical care authorities got together […]
All Updates, ICU, Kids, Resus
Steroids for sepsis in kids
A small retrospective study suggests adrenal insufficiency is common in kids with septic shock, and that steroid administration in these […]
Acute Med, All Updates, Guidelines, ICU, Resus
ACEP policy on PE
The American College of Emergency Physicians has revised its 2003 clinical policy on pulmonary embolism. Among the areas considered […]
All Updates, Kids, Resus, Trauma, Ultrasound
FAST in kids has low sensitivity
The abstract says it all – don’t use FAST to rule out significant abdominal free fluid in kids with blunt […]