The Paradoxical Alternative
49 year female old smoker with two weeks of increasing shortness of breath. She is treated for pneumonia on the ward but getting worse.
Category Medical Specialty
Intra-aortic Balloon Pump
IABP one of your patients had poor cardiac output after a CABGx4 and required the insertion of an intra-aortic balloon pump, what do you do?
Why so blue?
A 40-year-old man presented to the emergency department with shortness of breath, chest pain and reported a pre-syncopal episode. But why so blue?
Cardiac Megacode
As leader of the MET team you were called to a 'Cardiac megacode' as a 57 year-old man has arrested on the ward post-operatively...
Sudden onset blue leg
A woman in the ICU has a problem. Her leg has turned blue. Can you handle this Phlegmasia case-based cardiovascular curveball?
Broken-hearted chest drain
This 86 year old male presented with shortness of breath. He developed a complication after insertion of a left chest drain.
Lisfranc fracture
Lisfranc fracture named after Jacques Lisfranc de Saint-Martin and his amputation - removal of the forefoot at the tarsometatarsal joint complex (1815)
Robert Arden Miller
Robert Arden Miller (1906 – 1976) American anesthesiologist. Miller laryngoscope blade, first manufactured by the Welch-Allyn Company (1941)
Robert Andrew Hingson
Robert Andrew Hingson (1913-1996) was an American anesthesiologist. Pioneer in anesthesiology introducing peridural analgesia for labour and delivery.
Lifting the lid on a ‘proven therapy’
According to an editorial in the NEJM, decompressive craniectomy "has a proven benefit in the management of malignant cerebral edema after ischemic stroke”... We point out the caveats to this assertion.
Never Kiss a Jellyfish
Although I ‘love’ jellyfish from the point of view of a clinician, I try to avoid getting too ‘up close and personal’ with them. Unfortunately upon diving into the Indian Ocean last weekend – a maneuver described as ‘ungainly’ by…
Open Fractures
An open fracture is a fracture that communicates with an overlying disruption of the skin and soft tissues. They are also called compound fractures. Open fractures are potentially limb-threatening injuries.