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, Resus
critical care
Acute Med, All Updates, ICU, Resus
Circulatory support in cardiogenic shock
An editorial1 reviewing options for circulatory support in patients with cardiogenic shock argues that traditional inotrope therapy may be replaced […]
Acute Med, All Updates, ICU, Resus
PICCs more complicated than CVCs
A review showed that peripherally inserted central catheters were associated with higher rates of complications that standard central venous catheters […]
All Updates, ICU, Resus, Trauma
Sedation for traumatic brain injury
What are the best sedatives for patients with traumatic brain injury? A systematic review found no evidence that one sedative […]
Acute Med, All Updates, ICU, Resus
AF in sepsis and risk of stroke
Atrial fibrillation can occur in the setting of severe sepsis, and often presents a therapeutic conundrum for critical care physicians, […]
All Updates, ICU, PHARM, Resus
Preoxygenation and Prevention of Desaturation
This paper is an excellent review article citing the cogent relevant evidence for optimal preoxygenation prior to RSI in the […]
Acute Med, All Updates, ICU, Resus
Fluids contribute to acid-base disturbance on ICU
I enjoyed a paper from Critical Care Medicine this month which relates to a major bugbear of mine: the prescription […]
Acute Med, All Updates, ICU, PHARM, Resus
咽反射是沒用的 – just as we thought
The painful dogma of “GCS ≤8 = intubate” is nicely challenged by the A&E Academic Unit at Prince of Wales […]
Acute Med, All Updates, ICU, Resus
Cardiac arrest caused by subarachnoid haemorrhage
We know that subarachnoid haemorrhage (SAH) can cause cardiac arrest. Some questions we may have about this are: Questions What […]
Acute Med, All Updates, Guidelines, ICU, Resus
Myoclonus no longer a show-stopper
In comatose survivors of cardiac arrest, myoclonus is considered a grave prognostic sign. The American Academy of Neurology stated in […]