Airway lessons relearned
A UK study examined all out-of-operating room intubations over a one month period in nine hospitals1. Patients whose indication for […]
All Updates, ICU, Resus
critical care
All Updates, PHARM, Resus, Trauma
Training in prehospital and retrieval medicine
I’ve been too busy to blog literature updates for a couple of weeks since I and my colleagues have been […]
Acute Med, All Updates, ICU, Resus
β-2 agonists could worsen ARDS outcome
A previous study (BALTI-1) suggested β-2 agonists may help in ARDS by reducing extravascular lung water. A randomised trial in […]
All Updates, ICU, PHARM, Resus, Trauma
FIRST: Fluids in Resuscitation of Severe Trauma
This is the first randomized, controlled, double-blind study comparing crystalloids with isotonic colloids in trauma. 0.9% saline was compared with […]
All Updates, ICU, Resus
Adjacent haemofiltration catheters can remove CVC drugs
An important consideration when siting your lines in your critical care patients who require renal replacement therapy… Dual-lumen haemodiafiltration catheters […]
Acute Med, All Updates, ICU, Resus
Vasopressin – what it does and doesn't do
The current Surviving Sepsis campaign guidelines recommend that vasopressin should not be administered as the initial vasopressor in septic shock, […]
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 […]
All Updates, ICU, Resus
Steroid replacement after etomidate: no benefit
More fuel for the etomidate debate… In essence: Etomidate has been a useful induction agent for RSI for many years […]
All Updates, ICU, PHARM, Resus
Emergency percutaneous airway
An excellent thorough review of emergency needle and surgical cricothyroidotomy – collectively described as ’emergency percutaneous airway’ – reveals a […]
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 […]