It’s Tamponade – Now What?
You ultrasound the chest of your shocked patient in resus with fluid refractory hypotension. You see fluid around the heart. […]
Acute Med, All Updates, Guidelines, ICU, Resus
shock
Acute Med, All Updates, ICU, Kids, Resus
Inhaled nitric oxide: a tool for all resuscitationists?
The use of inhaled nitric oxide is established in certain groups of patients: it improves oxygenation (but not survival) in […]
Acute Med, All Updates, ICU, PHARM, Resus, Trauma
London Trauma Conference 2013
Our inside reporter Dr Louisa Chan provides an update from Day One of the London Trauma Conference: At risk of […]
Acute Med, All Updates, ICU, Resus
Double balloon pump fail
Two recent trials question the ongoing use of intra-aortic balloon pumps: in patients with acute myocardial infarction with cardiogenic shock […]
Acute Med, All Updates, ICU, Resus
Beta blockers potentially beneficial in septic shock
Counterintuitive as it sounds, this is pretty cool. I blogged about these guys before when they published their findings on […]
Acute Med, All Updates, ICU, PHARM, Resus, Trauma
Colloids again: still no benefit.
It’s nice to have big randomised trials to guide critical care practice. The age-old crystalloid/colloid debate (is that still going?) […]
Acute Med, All Updates, ICU, Resus
Beta blockade in sepsis
What do septic patients need if they remain shocked after fluid resuscitation? Catecholamines right? Let’s stimulate some adrenoceptors and support […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Predicting volume responsiveness
One of the current Holy Grails of ED critical care is to find a reliable measure of fluid responsiveness in […]
Acute Med, All Updates, ICU, Resus
Hypothermia as an inotrope
This small study supports the hypothesis that therapeutic hypothermia can have positive inotropic effects in patients with cardiogenic shock of […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus
Don't ignore the diastolic
Most of us are pretty good at spotting hypotension and activating help or initiating therapy. But ‘hypotension’ in many practitioners’ […]