An easily missed cause of shock
A potentially reversible cause of haemodynamic shock in critically ill patients is left ventricular outflow tract obstruction (LVOTO). We are […]
All Updates, ICU, Resus, Ultrasound
Resus
Life-saving medicine
Acute Med, All Updates, ICU, PHARM, Resus
Supplemental oxygen decreases LV perfusion in volunteers
Oxygen therapy in normoxic acute coronary syndrome patients is controversial, and a previous systematic review cautioned against it in uncomplicated […]
Acute Med, All Updates, ICU, Resus
Furosemide infusion in acute decompensated heart failure
A randomised controlled trial of 308 patients with acute decompensated heart failure compared continuous furosemide infusion with ‘low’ dose (equal […]
All Updates, ICU, Resus
African study on cricoid pressure
A colleague told me about a cricoid pressure paper I would otherwise have missed, since I don’t normally check out […]
All Updates, Kids, PHARM, Resus
Weight formula validation
Further validation of the UK-derived Luscombe weight formula has been made in the Australian setting. The nice simple formula for […]
All Updates, Resus, Ultrasound
IVC collapse depends on breathing pattern
A high degree of sonographically-visualised collapse of the inferior vena cava (IVC) during inspiration suggests a volume-responsive cardiac output. This […]
All Updates, Resus
Alfentanil for Procedural Sedation
An evaluation of single-agent alfentanil for procedural sedation in the ED has been published by the team at Hennepin County […]
Acute Med, All Updates, ICU, PHARM, Resus
In V.Fib and talking to you!
Some patients with severe refractory heart failure are kept alive thanks to implantable pumps such as the left ventricular assist […]
Acute Med, All Updates, Resus
TIA workup renders ABCD2 unhelpful
ABCD2 is recommended to stratify the risk of stroke in patients presenting to the ED with TIA symptoms. In some […]
All Updates, Resus
Midazolam smoothens adult ketamine sedation
In adults undergoing procedural sedation with ketamine, 0.03 mg/kg IV midazolam reduced recovery agitation compared with placebo. STUDY OBJECTIVE: We […]