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)…
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…
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?
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.
An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?
A man is about to intubated for coma. What can be learned from a rapid neurological exam that includes assessment of eye movements? Could this be a pseudocoma?
You have an emotionally labile patient in the department who sounds like 'Donald duck'. Before rounding up some students to 'pimp' you decide to test yourself on bulbar and pseudobulbar palsies so that you don't get caught out...
The spinal patient from Microbial Mystery 005 has returned from the operating theatre. Within 15 minutes she is unconscious. What's going on?
You are asked to review a 65 year-old man who is comatose (GCS 3) with small pupils (2 mm bilaterally). He has a history of diabetes mellitus and bipolar disorder. He was discharged from hospital yesterday, following a surgical procedure.
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
Refractory shock in trauma is still most likely due to occult ongoing haemorrhage; shock may be due to the underlying cause of trauma e.g. MI leading to car crash