Franz Wiesbauer explains how to differentiate between metabolic acidaemia caused by a loss of bicarbonate and that caused by the addition of acid.
Critical Care Compendium CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Medmastery: compensation
Franz Wiesbauer looks at acid-base compensation and some super-simple rules that will help you decide whether compensation is adequate or not.
Medmastery: acid-base disorders
Franz Wiesbauer explains the relationship between pH, HCO3 and pCO2 and a simple rule which will help you decide whether the primary problem is respiratory or metabolic in nature.
A Most Discombobulating Gas
Are you discombobulated by this blood gas? It will lead you down an unexpected path…
Alcohol Toxidrome
AGENTS ethanol methanol ethylene glycol isopropyl alcohol others! CLINICAL FEATURES euphoria disinhibition stupour respiratory depression cardiovascular depression coma ocular toxicity = methanol hypocalcemia + renal failure = ethylene glycol haemorrhagic gastriyis = isopropyl alcohol INVESTIGATIONS ethanol level (> 400mg/dL -> coma and respiratory depression) ethylene glycol level (severe lactic acidosis) high osmolar gap then HAGMA […]
Airway ultrasound the oesophagus
Transverse views of the lower anterior neck. The aim is to visualise the trachea and oesophagus, so that during tracheal intubation, inadvertent oesophageal intubation may be identified and immediately corrected.
DL Terminated
Why direct laryngoscopy is scheduled for termination.
ECG Case 096
29 yr old male presents complaining of vomiting, dizziness and felling ‘vague’. Describe and interpret this ECG. LITFL Top 100 ECG
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