Thrombolysis in submassive PE – still equipoise?
The AHA has produced a comprehensive guideline on venous thromboembolic disease. Here are some excerpts pertaining to resuscitation room decision […]
Acute Med, All Updates, ICU, Resus, Ultrasound
cardiology
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus
STEMI criteria vary with age and sex
On reading through the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science – Part 10: […]
All Updates
'Sensitive' troponin assays do not rule out at ED presentation
An assessment of new ‘sensitive’ troponin assays at presentation of chest pain patients in a real-world ED setting showed that […]
Acute Med, All Updates, Resus
Triple marker panel for AMI
A large Asian/Australasian study examined a 2hr triple-marker test in patients presenting with chest pain. BACKGROUND: Patients with chest pain […]
Acute Med, All Updates, ICU, Resus
Vasoactive drugs in cardiogenic shock
I’m always on the look-out for evidence to guide vasoactive drug therapy, an area where much dogma is spouted by […]
Acute Med, All Updates, ICU, PHARM, Resus
Which cardiac arrest survivors have a positive angio?
A retrospective study of out-of-hospital cardiac arrest patients attended by a French pre-hospital system was performed to assess the predictive […]
All Updates, ICU, Resus, Ultrasound
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 […]
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 […]
Acute Med, All Updates, PHARM
Delayed door-to-balloon even with helicopters
For a whole bunch of reasons, patients with ST-elevation myocardial infarction who undergo interhospital transfer for primary percutaneous coronary intervention […]