A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 70 x 50mg amitriptyline. He is tachycardic (HR 120) with an otherwise 'normal' ECG (QRS 95 ms) but is becoming drowsy. You are called to the resuscitation room to assess him.
Administration of intravenous calcium has traditionally been considered a contra-indication for the treatment of hyperkalemia in the presence of digoxin toxicity. This is based on the ‘Stone Heart’ Theory: calcium may lead to an irreversible non-contractile state, due to impaired diastolic relaxation from calcium-troponin C binding
Outline the key issues in the management of acute right ventricular failure in an ICU patient with moderate to severe pulmonary hypertension.
Funtabulously Frivolous Friday Five 118 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 267
Ludwig angina: rapidly progressive gangrenous bilateral cellulitis of the submandibular space with risk of life-threatening airway compromise
The CT head scan is a computer-generated series of images from multiple X-rays taken at different levels. Fine X-ray beams passed through the subject are absorbed to different degrees by different tissues and the transmitted radiation is measured by a scanning device.
Blood Gas Analyser: machine for point of care measurement of arterial blood gas indices and electrolytes
Glucose Control Literature Summaries
Ultrasound guided peripheral intravenous cannula placement. Out-of-plane technique for PIV cannula placement.
Rotavirus is the leading cause of gastroenteritis worldwide and a leading cause of infant death in the developing world. 95% of U.S. children have had a rotavirus infection by the age of 5 years.
Compare and contrast the utility of the following in the assessment of acute kidney injury in a critically ill patient: