Caution with intraosseous adenosine
Two cases of failed cardioversion of SVT after tibial intraosseous administration of adenosine in infants are described in this month’s […]
All Updates, Guidelines, Kids, Resus
Kids
Acute Paediatrics
All Updates, ICU, Kids, PHARM, Resus
A big brain saves a little one
Something I’ve been teaching for years – but never actually done – has been described in a case report from […]
Acute Med, All Updates, Guidelines, ICU, Kids, PHARM, Resus
Two new anaphylaxis guidelines
Many local and national guidelines for the management of anaphylaxis exist, but did you know there was a World Allergy […]
Acute Med, All Updates, ICU, Kids, Resus
Treating sepsis – have we got it the wrong way round?
In our understanding of the pathophysiology of sepsis, we often attribute organ damage and death to the excessive host response […]
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 […]
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, Guidelines, ICU, Kids, Resus
Offensive medicine: CT before LP
I’m getting worn down by clinicians – often other specialists – who insist that CT imaging of the brain is […]
Acute Med, All Updates, ICU, Kids, Resus
Salicylate poisoning and pseudohyperchloraemia
Severe salicylate poisoning can cause metabolic acidosis from an accumulation of salicylic acid, lactic acid, and ketone bodies. A high […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Easy rapid infusion set up
Here’s a nice and simple set up for rapid iv infusions using simple cheap equipment Full details at the Scandinavian […]
All Updates, ICU, Kids, Resus
Is there nothing ketamine can't do?
As well as the benefits of cardiovascular stability, maintenance of cerebral perfusion pressure, possibly lowering ICP and providing other neuroprotective […]