Capillary refill time
A review of capillary refill time (CRT) reveals some interesting details about this test: CRT is affected by age – […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Kids
Acute Paediatrics
Acute Med, All Updates, ICU, Kids, Resus
Why I don't give vasopressors in sepsis
It’s become popular to use the term ‘vasopressors’ or just ‘pressors’ when noradrenaline/norepinephrine or even (in some places still) dopamine […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Pre-hospital ECMO
Two cases are reported of the pre-hospital institution of venoarterial extracorporeal membrane oxygenation (ECMO) for patients in cardiac arrest. One […]
All Updates, Kids, Resus
Prehospital resuscitative hysterotomy
My colleagues and I describe a tragic case in this month’s European Journal of Emergency Medicine1. Our physican-paramedic team was […]
All Updates, Kids
CRP helpful in risk stratifying febrile kids
In febrile children, peripheral white blood cell counts were not helpful in separating children with self limiting infections from those […]
All Updates, Kids, PHARM, Resus
Normal heart and respiratory rates in children
A large review has established normal ranges of heart rate and respiratory rate in children from birth to 18 years […]
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, 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, 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 […]