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, Guidelines, Resus
Resus
Life-saving medicine
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, 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, ICU, Resus
Effect on noradrenaline on tissue oxygen delivery
Some persist in thinking and teaching that the ‘vasopressor’ noradrenaline (norepinephrine) increases mean arterial pressure (MAP) simply by increasing systemic […]
All Updates, PHARM, Resus
No benefit from drugs in pre-hospital cardiac arrest
A Norwegian randomised controlled trial over five years compared out-of-hospital nontraumatic cardiac arrest outcomes between ACLS protocols with and without […]
All Updates, PHARM, Resus, Trauma
Is cervical spine protection always necessary following penetrating neck injury?
This short cut review in the Best Bets format attempted to answer the question: “is cervical spine protection always necessary […]
Acute Med, All Updates, Guidelines, Resus
New College of Emergency Medicine Guidelines
New guidelines from the (UK) College of Emergency Medicine are available at http://www.collemergencymed.ac.uk by going to he Clinical Effectiveness Committee […]
Acute Med, All Updates, Resus
Can venous blood gases replace arterial gases?
A comprehensive summary of the literature presented by Professor Anne-Maree Kelly in June 2009 at 4ème SYMPOSIUM INTERNATIONAL BLOOD GASES […]
All Updates, ICU, Kids, PHARM, Resus
Cuffed tracheal tubes for children
In a prospective randomised controlled multi-centre trial, cuffed tracheal tubes were compared with uncuffed tubes in 2246 children aged from […]