Clinical Podcasts, Mastery Lectures and the Latest Literature Reviews.
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Haber E.N et al. Accuracy of Noninvasive Blood Pressure Monitoring in Critically ill Adults. J Int Care Med. 2024, Jan 12 (Ahead of Print.) PMID: 38215002
I always have anxiety when the sick,...
Cardiac arrest has a poor survival rate. In this study Okubo et al(1) tried to address the question of adrenaline or airway first, in out of hospital cardiac arrest?
We appear to be forever looking...
The pulse check has been an important part of the assessment of unresponsive patients. It may be the determining factor in making the decision to commence CPR. We know that pulse checks are...
The CASE
A 28 yo patient is brought in by ambulance with a depressed conscious state. The ambulance was called by friends who give a history of the patient drinking all night. There is no known...
What is a ST Elevation Myocardial Infarction (STEMI) Equivalent?
These ECG criteria identify patients who require immediate reperfusion therapy as per the 2013 STEMI Guidelines (1). The ecg changes...
The CASE
A 58 yo patient has called the ambulance, as he is having palpitations and is feeling unwell. He has a past medical history of ischaemic heart disease with two coronary stents placed 10...
A literature review of the latest in Bronchiolitis management. Also a review of thermometers (or as we like to call them random number generators)
The End tidal CO2 (ETCO2), is measured at the end of expiration and used to confirm that the patient is being ventilated and during cardiac arrest. It is also used as a surrogate marker for cardiac...
The purpose of resuscitation in cardiac arrest, is to restore oxygenated blood supply to the organs, most importantly the brain. What are the oxygen targets in cardiac arrest and post arrest...
The best way to manage the airway during cardiac arrest, has remained somewhat of a mystery. We don’t know how much tidal volume to give, were not sure of what percentage FiO2 to deliver and...
Do steroids decrease mortality in patients with severe community acquired pneumonia?
Community acquired pneumonia is the leading cause of death from infection, approaching 10% mortality. In those...
CASE
A 36 yo woman presented to the emergency department complaining of numb feet. “I can’t feel the pedals in the car when I’m driving…….. It started 2 days...
Case 1
A 35 yo male presents with palpitations and pleuritic chest pain. He’s recently had a viral illness but has no other medical history. At 1am in the morning, the patient was woken by...
Hypertensive emergencies are defined as sudden and prolonged increases in the arterial blood pressure, with associated organ damage. The degree of increase above that which the patient normally...
A 78yo male woke up in the morning feeling dizzy. The patient was well when lying down, but became light headed every time he got up. He waited, but symptoms did not improve, so later in the...
The CASE
A 7 yo child is brought in by ambulance after having tonic clonic seizures that morning. The whole family had been travelling for a holiday. Her mother tried to wake her in the...
Bell's Palsy is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a sudden onset of facial weakness, that progressively worsens over 48 hours. The diagnosis...
The Case
A 35 year old woman, who is a known intravenous drug user, is admitted with septic shock secondary to bacterial endocarditis. She is acidotic and hypotensive. Her ECG is shown. Here...
The CASE
52 yo with chest pain and hypotension
It’s a busy afternoon in a rural emergency department and the ambulance bring in a 52 yo with central chest pain and a blood pressure of...
In this Papercut review we look at some major studies and what they tell us about the use of Adrenaline in cardiac arrest. Adrenaline is the most used drug in cardiac arrest. However we...
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