High-Dose N-Acetylcysteine Therapy for H1N1
A case report describes the improvement of a critically ill patient with H1N1 ‘flu after the administration of N-acetylcysteine in […]
Acute Med, All Updates, ICU
critical care
All Updates, ICU, Ultrasound
Lung Ultrasound Articles
Here are some sites that explain lung sonography as applied to critical care patients: Clinical review: Bedside lung ultrasound in […]
All Updates, Guidelines, ICU, Kids, Resus
Post cardiac arrest guideline
A patient is resuscitated from an out-of-hospital cardiac arrest and is in your emergency department, comatose, with a pulse. You […]
Acute Med, All Updates, ICU, Kids, Resus
Crystalloids vs colloids and cardiac output
It is said that when using crystalloids, two to four times more fluid may be required to restore and maintain […]
All Updates, ICU, Resus
The right antibiotic in septic shock makes a massive difference
A retrospective review of appropriate vs inappropriate antimicrobial therapy was undertaken in over four thousand septic shock patients from multiple […]
All Updates
Is ETT muck delaying weaning?
Organised secretions can build up in a tracheal tube. This increases airway resistance so during a spontaneous breathing trial in […]
All Updates, ICU, Trauma
CT cervical spine in obtunded trauma patients
Prolonged collar use and spinal immobilisation in ICU patients can contribute to pressure sores, increased intracranial pressure, venous obstruction, difficulties […]
All Updates, ICU, Resus
EGDT sepsis bundle challenged
An article in American Journal of Emergency Medicine by two intensivists challenges the science behind Rivers’ early goal-directed therapy (EGDT) […]
Guidelines, ICU
Preventing AKI on the ICU
A multinational European working group produced the following evidence-based recommendations for preventing acute kidney injury (AKI). Read the full guideline […]
All Updates, ICU
Low PPV can still be fluid responsive
Pulse pressure variation with respiration (PPV) predicts fluid responsiveness in mechanically ventilated patients. Because this is due to transmission of […]