Month January 2019
CCC Critical Care compendium 340

Shunts and Echocardiography

OVERVIEW can use bubble testing to ID calculate gradients if L->R shunt reverses due to pulmonary hypertension it is Eisenmenger syndrome Echo may not detect extra-cardiac shunts ASD patent foramen ovale (30% incidence in general population) ostium secundum ostium primum…

Toxicology-Conundrum-340 256

Brain Dead?

A baffling case of apparent brain death... Can you work out what has happened? A 35-year old female with a history of multiple sclerosis and depression is found collapsed at home. She is known to have access to quetiapine.

CCC Critical Care compendium 340

Defibrillators

Defibrillator: application of an electrical current across the heart to convert VF/VT -> sinus rhythm

CCC Critical Care compendium 340

Calcium Replacement

Calcium Replacement: controversial issue; generally accepted that patient should have replacement if ionised Ca2+ < 0.8mmol/L