Capillary refill time
A review of capillary refill time (CRT) reveals some interesting details about this test: CRT is affected by age – […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
shock
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, PHARM, Resus, Trauma
Trauma mortality and systolic BP
Here’s some further evidence that a ‘lowish’ – as opposed to a low – systolic blood pressure is a reason […]
Acute Med, All Updates, ICU, Resus
Nitric oxide for right ventricular cardiogenic shock
A case report describes a patient with right ventricular cardiogenic shock due to a dissected right coronary artery1. There was […]
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
Hypovolaemic shock and pre-hospital hypertonic saline
No benefit was shown in a trial of hypertonic saline (with or without dextran) versus 0.9% saline in patients with […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Thrombolysis in submassive PE – still equipoise?
The AHA has produced a comprehensive guideline on venous thromboembolic disease. Here are some excerpts pertaining to resuscitation room decision […]
Acute Med, All Updates, ICU, Resus
Vasoactive drugs in cardiogenic shock
I’m always on the look-out for evidence to guide vasoactive drug therapy, an area where much dogma is spouted by […]
Acute Med, All Updates, ICU, Resus
CHEST study to evaluate starch
No results to report here, just a heads up that the CHEST study is underway: a randomised controlled trial of […]
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 […]