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, ICU, Kids, PHARM, Resus, Trauma
neurology
Acute Med, All Updates, ICU, PHARM, Resus
Lowering the BP rapidly in ICH
In our retrieval service case reviews, one thing that is that sure to generate discussion is what to do about […]
Acute Med, All Updates, ICU, PHARM, Resus
Clopidogrel and aspirin for TIA
A large Chinese trial compared aspirin alone with combination aspirin / clopidogrel in patients who had had a TIA in […]
Acute Med, All Updates, PHARM, Resus
Stroke thrombolysis outcomes from registry
Data from a large national stroke registry are reported to show that in patients who received tPA, outcomes were worse […]
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, Resus
Phentolamine for neurogenic pulmonary oedema
A single case report might not be practice changing, but it’s helpful to know about this option: A patient with […]
All Updates, ICU
Neurologic complications in infective endocarditis
More than half of patients admitted to ICU with left-sided infective endocarditis developed neurologic complications OBJECTIVE: To describe the clinical […]
Acute Med, All Updates, ICU, PHARM, Resus
Status epilepticus review
A review on status epilepticus, differentiating complex partial status from generalised convulsive status: PURPOSE OF REVIEW: Status epilepticus is one […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Salt or sugar on the brain
A meta-analysis suggests hypertonic saline may be more effective at lowering intracranial pressure than mannitol. An accompanying editorial cleverly entitled […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Cardiac arrest drugs and pupils
Although not predictive immediately post-cardiac arrest in the emergency department, dilated unreactive pupils two or three days later on the […]