Intranasal ketamine for kids – 1mg / kg?
A small pilot study on a convenience sample of children presenting to the emergency department with acute limb injury pain […]
All Updates, Kids, PHARM, Trauma
drugs
Acute Med, All Updates, ICU, Resus
Endovascular stroke treatment
Two randomised controlled trials have been published which compare endovascular stroke treatments with intravenous tPA. Both the American Interventional Management […]
All Updates, ICU, Kids, PHARM, Resus
Ketamine & cardiovascular stability
I ‘jumped ship’ from etomidate to ketamine for rapid sequence intubation (RSI) in sick patients about seven years ago. Good […]
All Updates, ICU, Kids, PHARM, Resus
Don't bronchodilators work in infants?
Inpatient paediatric teams can be scornful when bronchodilators are given by ED staff to wheezing infants, correctly referring to the […]
Acute Med, All Updates, ICU, Resus
Thrombolytic Therapy in Unstable Patients with PE
Most of us would give strong consideration to giving thrombolytics to patients with massive pulmonary embolism (PE), which is in […]
Acute Med, All Updates, ICU, Resus
Nitrate bolus in acute heart failure
Despite intravenous nitrate boluses being used in original studies demonstrating benefit in acute heart failure1,2, I regularly meet reluctance from […]
All Updates, ICU
Ventilated patients better able to communicate pain with dexmedetomidine
A multicentre European trial on intensive care units showed dexmedetomidine was non-inferior to midazolam or propofol in achieving target sedation […]
Acute Med, All Updates, PHARM
Prehospital IM midazolam for seizures
Intramuscular midazolam is at least as safe and effective as intravenous lorazepam for the prehospital management of status epilepticus. In […]
Acute Med, All Updates, PHARM
Enoxaparin beats heparin for PCI
This is of interest to those of us in retrieval medicine, for logistic reasons: an infusion of heparin can be […]
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 […]