Evidence refutes ATLS shock classification
I have always had a problem with the ATLS classification of hypovolaemic shock, and omit it from teaching as any […]
All Updates, PHARM, Resus, Trauma
Resus
Life-saving medicine
All Updates, PHARM, Resus, Trauma
Burr holes by emergency physicians
Emergency physicians at Hennepin County Medical Centre (HCMC) are trained in skull trephination (drilling a burr hole) for patients with […]
All Updates, Resus
capnometry versus pulse oximetry during procedural sedation
During emergency department procedural sedation, some clinicians (myself included) advocate non-invasive capnography for the early detection of apnoea. Others argue […]
Acute Med, All Updates, ICU, Resus, Trauma, Ultrasound
Echo in life support feasible
Emergency physicians in Cambridge and Ipswich in the UK prospectively documented their echo use in cardiac arrest. Images were easily […]
Acute Med, All Updates, Resus, Ultrasound
McConnell's sign revisited
In acute pulmonary embolism, a well-recognised pattern of right ventricular wall motion reported by McConnell is characterised by normal RV […]
Acute Med, All Updates, Kids, PHARM, Resus, Trauma
Two smaller lines may be quicker
Using Poiseuille’s law and standardized gauge sizes, an 18-gauge (g) intravenous catheter (IV) should be 2.5 times faster than a […]
Acute Med, All Updates, Resus
Can we tell if AF is new?
One of the dilemmas in selecting appropriate therapy for atrial fibrillation in the emergency situation is determining whether the AF […]
Acute Med, All Updates, ICU, PHARM, Resus
Pre-hospital cooling post arrest
An Australian randomised controlled trial assessed the effect of pre-hospital cooling (using 2 litres ice cold Hartmann’s) of post-cardiac arrest […]
Acute Med, All Updates, Resus
Inferior MI – check V1 too
Lead V1 directly faces the right ventricle and during an inferior AMI may exhibit ST elevation with concomitant right ventricular […]
Acute Med, All Updates, ICU, Resus
Unilateral pulmonary oedema worse
A few years ago in the Emergency Department I managed a sick hypotensive, hypoxic 20-something year old with a unilateral […]