Guidelines for the Management of Heart Failure
Some new guidelines to be aware of are the AHA Guidelines for the Management of Heart Failure. Full text is […]
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus
heart failure
Acute Med, All Updates, ICU, Resus
Potential new therapy for acute heart failure
Interesting new drug to know about: Serelaxin, recombinant human relaxin-2. It’s hard to assess the clinical significance of the statistically […]
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 […]
Acute Med, All Updates, ICU, Resus
Dobutamine for severe heart failure – more harm than good?
A systematic review and meta-analysis of randomised controlled trials showed dobutamine is not associated with improved mortality in heart failure […]
Acute Med, All Updates, PHARM, Resus
Pre-hospital CPAP for pulmonary oedema
The physician-staffed mobile intensive care units of SAMU (Service d’Aide Médicale Urgente) in France provided the location for this randomised […]
Acute Med, All Updates, ICU, Resus
Furosemide infusion in acute decompensated heart failure
A randomised controlled trial of 308 patients with acute decompensated heart failure compared continuous furosemide infusion with ‘low’ dose (equal […]
Acute Med, All Updates, ICU, Resus
Unilateral pulmonary oedema worse
A few years ago in the Emergency Department I managed a sick hypotensive, hypoxic 20-something year old with a unilateral […]
Acute Med, All Updates, Resus
Thoracic electrical bioimpedance in dyspnoea
Thoracic electrical bioimpedance (TEB) was used in ED patients presenting with dyspnoea to differentiate between cardiac and non-cardiac causes. The […]
Acute Med, All Updates, Ultrasound
Echo best test for acute LVF in ED
Three diagnostic tests for acute left ventricular heart failure in dyspnoeic patients were compared, with the gold standard being the […]
All Updates, ICU, PHARM
Nurse-delivered prehospital CPAP
A nurse-based pre-hospital care system in Holland describes its experience with pre-hospital CPAP for acute cardiogenic pulmonary oedema. It appears […]