Hyperchloraemia and mortality
Here’s something to add to the pile of data cautioning us to think before we acidify patients with saline. A […]
All Updates, ICU, PHARM, Resus
metabolic
All Updates, PHARM, Resus
Point of care analysis of intraosseous samples
Some good news for remote, rural, prehospital, and retrieval medicine clinicians who rely on point of care testing with the […]
Acute Med, All Updates, ICU, Resus
Hyperglycaemia & mortality in sepsis – lactate dependent?
I like this paper for introducing a new concept to me. For years the critical care community has recognised the […]
Acute Med, All Updates, ICU, PHARM, Resus
What's with all the chloride? An assault on salt
I continue to be bewildered at my ED colleagues’ overwhelming preference for 0.9% saline as a resuscitation fluid regardless of […]
Acute Med, All Updates, ICU, Resus
More on the meaning of lactate values
A newly published study(1) reminds us that we need to do better than just identify a raised lactate in patients […]
All Updates, ICU, Kids, Resus
Hypotonic Versus Isotonic Fluids After Surgery for Children
Kids in hospital with injury, infection or other illness, and those undergoing the physiological stress of surgery, produce (appropriately) elevated […]
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, Kids, Resus
Salicylate poisoning and pseudohyperchloraemia
Severe salicylate poisoning can cause metabolic acidosis from an accumulation of salicylic acid, lactic acid, and ketone bodies. A high […]
Acute Med, All Updates, Guidelines, Resus
What do I do with a high sensitivity troponin?
Newer high-sensitivity troponin tests can be positive in patients who would have negative tests with the ‘traditional’ assay, which can […]
Acute Med, All Updates, ICU, Kids, Resus
Hyperkalaemia dogmalysis
One of the things I enjoy most is the dismantling of medical dogma. In his brilliant blog Precious Bodily Fluids, […]