Sepsis research – let's get some answers
There’s so much debate on which components of Early Goal Directed Therapy in sepsis really make a difference. The good […]
Acute Med, All Updates, ICU, Resus
monitoring
All Updates, Fascinomata, Resus
Even the dead exhale CO2
Cardiac arrest patients sometimes have unrecognised oesophageal intubations because clinicians omit capnography, based on the assumption that circulatory arrest leads […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Predicting volume responsiveness
One of the current Holy Grails of ED critical care is to find a reliable measure of fluid responsiveness in […]
All Updates, Kids, PHARM, Resus
Identifying the febrile kid who's too tachypnoeic
Body temperature raises heart rate and respiratory rate in kids, potentially affecting our interpretation of these clinical signs. Dutch investigators […]
All Updates, ICU, Resus, Trauma
Targeted ICP reduction in TBI
A South American randomised controlled trial has demonstrated no improvement in mortality when traumatic brain injured patients had therapy targeted […]
All Updates, ICU, PHARM, Resus
Aeromedical retrieval: invasive vs noninvasive blood pressure
The chaps from the Emergency Medical Retrieval Service in the UK compared invasive (IABP) and non-invasive blood pressure (NIBP) measurements […]
All Updates, PHARM, Resus, Trauma
What is 'hypotension' in penetrating trauma?
I previously noted an article demonstrating that a ‘lowish’ – as opposed to a low – systolic blood pressure is […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Don't ignore the diastolic
Most of us are pretty good at spotting hypotension and activating help or initiating therapy. But ‘hypotension’ in many practitioners’ […]
Acute Med, All Updates, ICU, Resus
Confidential stuff – in hospital cardiac arrests
A new report describes room for improvement in the care of cardiac arrest patients in hospital1. The National Confidential Enquiry […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Is diastolic worse than systolic dysfunction in sepsis?
Septic myocardial dysfunction is a well recognised contributor to shock in sepsis but for many of us we assume this […]