Category CCC

The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.

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.

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.

CCC Critical Care compendium 340

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…

CCC Critical Care compendium 340

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…

CCC Critical Care compendium 340

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…

a knackered neonate…

the case. You are working in a district hospital and are called to the Special-Care Nursery to assist with an unwell newborn infant. She was born 2 hours ago at 39 + 4 weeks gestation, to a primip mother who…

better late than never…

The case. An obese 86 year old female is bought to ED by private car with a 5-6 day history of progressive dyspnoea and fevers. She is promptly rushed into the resus bay in extremis with cyanosis & poor respiratory…