RCT of 7.5% saline in head injury
Over a thousand patients in North America with blunt traumatic head injury and coma who did not have hypovolaemic shock […]
All Updates, ICU, PHARM, Trauma
outcome
Acute Med, All Updates, ICU, PHARM, Resus
Pre-hospital cooling post arrest
An Australian randomised controlled trial assessed the effect of pre-hospital cooling (using 2 litres ice cold Hartmann’s) of post-cardiac arrest […]
Acute Med, All Updates, Resus
Inferior MI – check V1 too
Lead V1 directly faces the right ventricle and during an inferior AMI may exhibit ST elevation with concomitant right ventricular […]
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
Pneumonia scores equivalent
Got a favourite assessment tool for classifying the severity of community acquired pneumonia? Two systematic reviews showed no significant differences […]
All Updates, PHARM, Trauma
No benefit from pre-hospital trauma doctor in Holland
Being human, I suffer from confirmation bias: I’ve become aware that I’m always on the look out for studies that […]
All Updates, PHARM, Trauma
Scene time not linked to outcome in large cohort
Okay – I admit to loving this paper, partly because it blows away the dogma of short scene times and […]
All Updates, PHARM, Trauma
Increased mortality with non-trauma centre care
A trauma database was analysed to see if patients who were transported from the field to a non-trauma centre (NTC) […]
All Updates, PHARM
Surviving avalanche burial
Avalanche burial has a high mortality and yet in some cases there have been some amazing saves despite prolonged cardiac […]
Acute Med, All Updates, PHARM, Resus
Oxygen in AMI – no benefit, possible harm
A Cochrane review examined the evidence from randomised controlled trials to establish whether routine use of inhaled oxygen in acute myocardial […]