Therapeutic Showering
A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.
CICM SAQ 2010.2 Q10
A 63 year old man was admitted after a community cardiac arrest. He is currently day 5 post admission with uncertain neurological prognosis. He developed bilateral chest infiltrates yesterday
Affective Dispositions to Respond
Affective dispositions to Respond (ADRs) (aka emotional biases). The full range of affect (or affective) conditions) that may influence decision making, including endogenous affective disorders, emotional dysregulation, countertransferance, fundamental attribution error and ambient/ chronobiological effects.
CICM SAQ 2010.1 Q16
List the possible reasons why a patient with septic shock from infected pancreatitis may have ongoing hypotension despite intravenous fluid therapy, antibiotics and escalating inotrope requirement.
A Remorseless Poison
A 20 year-old female had a polypharmacy overdose 36 hours ago. She has had symptoms of GI upset (nausea and vomiting), some anxiety and mild confusion. Her life is in your hands...
Funtabulously Frivolous Friday Five 123
Funtabulously Frivolous Friday Five 123 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Bilirubin and Jaundice
Bilirubin and Jaundice. Investigations and analysis of conjugated bilirubin, unconjugated bilirubin, urobilinogen and bilirubinuria
Case Reports and Case Series
Case reports and case series are considered relatively low level evidence; despite this they have a role in EBM - they are often the first line of evidence, where discovery begins
Mastering Intensive Care 039 Best of 2018
I hope you enjoy what I see to be a crash course of what we covered during 2018 and one that can help you to bring your best self to work in 2019.
CICM SAQ 2010.1 Q3
Questions 3.1 What are the distinguishing features on clinical examination between a neuropathy and a myopathy? 3.2 List 4 causes of a mid diastolic murmur over the apex. 3.3 A previously fit 45 year old man was noted to be…
CICM SAQ 2010.1 Q27
A 26 year old lady presents from home confused with a low-grade fever. Her blood pressure is 160/100 mm Hg. She has no gross motor deficits. Ten days ago she had an emergency termination of pregnancy for an intrauterine death that was complicated by disseminated intravascular coagulation.
A Toxic Slumber
A 3 year-old boy is BIBA with a reduced level of consciousness. He is protecting is airway, has a respiratory rate of 15/min, a pulse rate of 70/min and blood pressure of 85/35 mmHg. He is responsive to painful stimuli and has pupils 2mm in diameter. Can you keep out of harm's way?