Month January 2019
CCC Critical Care Compendium 680

Small bowel obstruction
 DDx

Key radiological features of small bowel obstruction are dilated bowel loops that are central, contain valvulae conniventes, and are pliable (“bent finger”).

CCC Critical Care compendium 340

Sepsis Definitions and Diagnosis

The original definitions of sepsis and related conditions (SIRS, severe sepsis and septic shock) are now more than 20 years old (Sepsis- 1 originated from the ACCP/SCCM consensus meeting in 1991 and Sepsis 2 from 2001)

CCC Critical Care compendium 340

Progressive Pneumonia

Nonresolving or Progressive Pneumonia: failure to normalize the clinical features (eg, fever, cough, sputum production), or nonresolving image in chest radiograph

CCC Critical Care compendium 340

Post-Traumatic Seizures

Post-Traumatic Seizures (PTS) occur in ~ 15% of patients with blunt severe TBI; higher risk in children; most occur within 48 hours

CCC Critical Care compendium 340

Ketamine RSI for head injury

Traditionally ketamine was contra-indicated for use in rapid sequence intubation of the head injured patient. This view has since been debunked. Recent evidence suggests that ketamine may actually be useful in this setting

CCC Critical Care Compendium 680

Groin lump DDx

Groin lumps can be categorised as occurring above or below the inguinal ligament. Differential diagnosis

CCC Critical Care Compendium 680

Hepatomegaly

Hepatomegaly is abnormal enlargement of the liver. See also hepatosplenomegaly. Differential diagnosis