Is it really all about the glycocalyx?
Jeremy Cohen talks glycocalyx... and not only survives, but gives the best explanation of what the glycocalyx means for critical care you're likely to find.
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Intralipid – myth or miracle?
Intralipid is one of the most exciting recent developments in clinical toxicology (right up there with high-dose insulin euglycemic therapy, aka HIET). We are rightly skeptical of any new therapy, especially one that promises so much. Nevertheless, many of the…
an abominable airway…
the case. a 28 year old male presents to your Emergency Department with a 2-3 week history of increasing neck swelling. He is now spitting out frank purulent discharge from his mouth and reports fevers and night sweats.
another bubble of trouble…
the case. 43 year old female is brought into your resuscitation bay by the paramedics. She has a 2 day history of vomiting and diarrhoea on the background of type 2 diabetes and alcohol abuse. Her son is concerned that…
an insidious intruder…
the case. 28 year old male presents to your tertiary emergency department with chest pain, exertional dyspnoea and left calf pain.
PE: Pain, Puzzles and PERC
Insights from the podcast PE/ PERC wars that are raging on the web as a result of the clash of two New York titans on EMCrit...
Mind the gap #2…
the case. a 43 year old male presents to your ED with a three day history of severe epigastric pain and recurrent vomiting. He has now become increasingly breathless and is complaining of severe retrosternal chest pain.
FCICM Exam Preparation
Reviewed and revised 25 May 2014 Authored by Jeremy Fernando and Chris Nickson OVERVIEW This page supports the session at the Wellington Intensive Care Medicine (WICM) course 2014 on ‘Preparing for the Exam’ by Jeremy Fernando and Chris Nickson Specific components of…
Exercise Associated Hyponatraemia
A recent coroner’s finding about the death of a Tasmanian bushwalker has reinforced the need for awareness of Exercise Associated Hyponatraemia, particularly in those participating in prolonged exercise and ultra-endurance events. What is EAH? What causes EAH? Exercise associated…
Collective (In)Competence
Communication researcher Lorelei Lingard shows how competent individuals form incompetent teams when communication fails and why this happens.
Mind the gap…
the case. a 29-year old female with a past history of anorexia nervosa, polycystic ovarian syndrome, chronic back pain and analgesic abuse presents to the Emergency Department. She describes 3 days of bilateral ankle and facial swelling. She tells you…
biochemical bugaboo…
the case. a 62 year old female presents to ED with breathlessness & chest pain.