'Cryptic shock' important but not always very cryptic
Patients with severe sepsis and an elevated lactate who appear to be normotensive had a mortality similar to those presenting […]
Acute Med, All Updates, ICU, Resus
sepsis
Acute Med, All Updates, Guidelines, ICU, Kids, Resus
Offensive medicine: CT before LP
I’m getting worn down by clinicians – often other specialists – who insist that CT imaging of the brain is […]
Acute Med, All Updates, ICU, Kids, Resus
Why I don't give vasopressors in sepsis
It’s become popular to use the term ‘vasopressors’ or just ‘pressors’ when noradrenaline/norepinephrine or even (in some places still) dopamine […]
All Updates, Kids
CRP helpful in risk stratifying febrile kids
In febrile children, peripheral white blood cell counts were not helpful in separating children with self limiting infections from those […]
All Updates, ICU, Kids, Resus
Steroids for sepsis in kids
A small retrospective study suggests adrenal insufficiency is common in kids with septic shock, and that steroid administration in these […]
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 […]
All Updates, ICU, Resus, Trauma
Steroids for trauma
A French study on adult patients intubated for multiple trauma assessed the effect of a one week course of stress-dose […]
All Updates, Kids, Resus
Fluid Bolus in African Children with Severe Infection
Much discussion has already taken place in the blogosphere about the FEAST study of fluid resuscitation in septic children. Although […]
All Updates, ICU, Resus
Norepinephrine increases preload
Noradrenaline (norepinephrine) may improve blood pressure in part through its venoconstriction effects, providing more venous return to the heart which […]
Acute Med, All Updates, ICU
H1N1 or CAP?
A scoring system composed of clinical, radiological, and laboratory variables purports to distinguish H1N1 influenza virus infection from community acquired […]