It’s Tamponade – Now What?
You ultrasound the chest of your shocked patient in resus with fluid refractory hypotension. You see fluid around the heart. […]
Acute Med, All Updates, Guidelines, ICU, Resus
dogmalysis
All Updates, ICU, PHARM, Resus
Difficult airways can't be reliably predicted
This paper1 proves what Rich Levitan has been saying (and writing) for years – that there is no method of […]
All Updates, ICU, Kids, PHARM, Resus, Trauma
Bilateral fixed dilated pupils? Operate if extradural!
Almost two-thirds of patients with extradural haematoma and bilateral fixed dilated pupils survived after surgery, with over half having a […]
All Updates, Kids, PHARM, Resus, Trauma
Blunt traumatic arrest in kids
Traumatic cardiac arrest outcomes are not great, but they’re not so bad that resuscitation is futile – a subject I’ve […]
All Updates, ICU, Kids, PHARM, Resus
Breaking with tradition in paediatric RSI
‘Traditional’ rapid sequence induction of anaesthesia is often described with inclusion of cricoid pressure and the strict omission of any […]
All Updates, ICU, Kids, PHARM, Resus
Atropine for Paediatric RSI?
In some areas it has been traditional to pre-medicate or co-medicate with atropine when intubating infants and children, despite a […]
Acute Med, All Updates, Guidelines, ICU, Resus
No Benefit From Early Goal Directed Therapy
The first of three major trials assessing early goal directed therapy (EGDT) in sepsis – the American ProCESS Trial – […]
All Updates, Guidelines, ICU, Kids, PHARM, Resus
Is 4 Joules per kg enough in kids?
Researchers from the Iberian-American Paediatric Cardiac Arrest Study Network challenge the evidence base behind defibrillation shock dose recommendations in children. […]
All Updates
Modernising ED sedation practice with evidence
I think some EDs still have an overcautious ‘ASA 1 or 2 only’ criterion for procedural sedation, which makes no […]
Acute Med, All Updates, ICU, Resus
Beta blockade in sepsis
What do septic patients need if they remain shocked after fluid resuscitation? Catecholamines right? Let’s stimulate some adrenoceptors and support […]