H1N1 Update from UK Intensive Care
H1N1 Update 16 December 2010 sent from the UK Intensive Care Society As many of you will already be aware, […]
All Updates, Guidelines, ICU
sepsis
All Updates, ICU, Resus
Etomidate vs midazolam in sepsis
Given that single-dose etomidate can cause measurable adrenal suppression, its use in patients with sepsis is controversial. A prospective, double-blind, […]
Acute Med, All Updates, ICU, Resus
CVCs placed in the ED
Central lines in the ED are more likely to get infected because they’re inserted under less scrupulously aseptic conditions than […]
All Updates, Kids, Resus
Finding the sick febrile kid
Finding children with serious illness among the multitudes who present with fever is the number one challenge in paediatric emergency […]
All Updates, ICU, Resus
Femoral SvO2 not so useful
Bloods sampled from both femoral vein and SVC-sited catheters in critically ill patients showed good correlation in lactate levels but […]
All Updates, Kids
Petechial spots usually benign
An Iranian study showed 10% of afebrile well appearing infants had petechiae and they remained well on follow up. This […]
Acute Med, All Updates, ICU
High-Dose N-Acetylcysteine Therapy for H1N1
A case report describes the improvement of a critically ill patient with H1N1 ‘flu after the administration of N-acetylcysteine in […]
All Updates, Kids, Resus
New meningococcal guideline
The UK’s National Institute for Health and Clinical Excellence has produced a guideline on the management of bacterial meningitis and […]
Acute Med, All Updates, Guidelines, ICU
Guidelines for Clostridium Difficile
Guidelines for preventing, detecting, and treating Clostridium Difficile infection from the Infectious Diseases Society of America have been published. Clinical […]
Acute Med, All Updates, ICU, Kids, Resus
Crystalloids vs colloids and cardiac output
It is said that when using crystalloids, two to four times more fluid may be required to restore and maintain […]