'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
Image: 2023 Stetoskop by Jacek Halicki, CC BY-SA 4.0, via Wikimedia Commons A small retrospective study suggests adrenal insufficiency is […]
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
Image: Hydrocortisone 100mg vial white background by Wesalius, CC BY 4.0, via Wikimedia Commons A French study on adult patients […]
All Updates, Kids, Resus
Fluid Bolus in African Children with Severe Infection
Image: Children in a village playing rope jumping by Roukia Ita Djibrine, CC BY-SA 4.0, via Wikimedia Commons Much discussion […]
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?
Image: Influenza Virus by NIAID, CC BY 2.0, via Wikimedia Commons A scoring system composed of clinical, radiological, and laboratory […]