Fluid Responsiveness
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge
Category Medical Specialty
Drug Withdrawal States in ICU
Drug withdrawal in ICU is more common than generally appreciated.
Haemoperfusion
Haemoperfusion: Renal replacement therapy (RRT) using an adsorbent cartridge to remove circulating toxins
Extracorporeal Elimination in Toxicology
Extracorporeal Elimination recommended for the following intoxications: methotrexate, procanamide, lithium, metformin, ethanol, methanol, ethylene glycol, salicylates, theophylline, sodium valproate.
Gastrointestinal Decontamination
The role for digestive tract decontamination depends on: severity of poisoning; time from ingestion; risk of intervention
Ultrasound Case 069
A 26 year old woman describes sudden severe left iliac fossa pain late in the evening prior to presentation. On the morning of presentation she complained of bilateral shoulder tip pain and had a presyncopal episode on standing up. She is not pregnant.
SARS, MERS and the Coronaviruses
Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) are novel coronaviruses that cause severe viral pneumonia in humans
Most coronavirus infections are mild respiratory tract infections
Advanced Life Support
KEY FEATURES CAB rather than ABC (30:2) 2 min cycles early, high quality, uninterrupted at least 100/min (rather than around) avoid excessive ventilation early defibrillation (higher joules for cardioversion) amiodarone after 3rd shock adrenaline every 4 minutes (every 2nd cycle)…
Percutaneous Valve Replacement
Leon MB et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010 Oct 21;363(17):1597-607 [PMID 20961243] 30% of patients with AS can’t under go surgery c/o co-morbidity TAVI developed, first performed…
Medically cleared?
A young woman is 'talking to voices' and is admitted to the psychiatric unit. Does she have a mental illness, or is something else going on?
Bullet in the Head
A gun shot wound to the head provides the basis for a question-and-answer based discussion on penetrating traumatic brain injury and multi-modal monitoring.
Look left, look right
An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?