COPD and heart disease interactions
Ischaemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD) often affect the same patient; in fact, more than one-third […]
Acute Med, All Updates, ICU, PHARM, Resus
outcome
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 […]
Acute Med, All Updates, ICU, Resus
Thrombolytic Therapy in Unstable Patients with PE
Most of us would give strong consideration to giving thrombolytics to patients with massive pulmonary embolism (PE), which is in […]
Acute Med, All Updates, PHARM, Resus
T waves in V1-V3 were not associated with badness
This long term follow up study showed that T-wave inversions in right precordial leads are not associated with adverse outcome. […]
Acute Med, All Updates, Guidelines, PHARM, Resus
Nonshockable arrest survival improves with uninterrupted compressions
A study of nonshockable out of hospital cardiac arrest survival showed significant improvement in short- and long-term survival and neurological […]
Acute Med, All Updates, ICU, PHARM, Resus
End-Tidal CO2 as a Predictor of Cardiac Arrest Survival
In one of largest studies to date of prehospital capnography in cardiac arrest, an initial EtCO2 >10 mmHg (1.3 kPa) […]
All Updates, Kids, PHARM, Resus, Trauma
Out-of hospital traumatic paediatric cardiac arrest
This small study on traumatic arrests in children1 refutes the “100% mortality from traumatic arrest” dogma that people still spout […]
All Updates, PHARM, Trauma
Helicopters and improved trauma survival
A large retrospective study has shown increased trauma survival associated with helicopter transport. The reason is unclear and may be […]
Acute Med, All Updates, Guidelines, PHARM, Resus
Epinephrine in cardiac arrest reanalysed
A post hoc reanalysis was performed on a 2009 JAMA paper comparing patients randomised to receive or not receive prehospital […]