Cessation of CPR
The decision to stop CPR should be tailored according to the specifics of the individual case and is based on clinical judgement. The decision is best made by the Team Leader in consultation with other team members
Intra-arrest therapeutic hypothermia
Therapeutic hypothermia (T33°C) after return of spontaneous circulation (ROSC) was not found to confer benefit compared to normothermia (T36°C) in the TTM trial
Passive Leg Raise
Passive Leg Raise (PLR) transiently increases venous return in patients who are preload responsive, as such it is a diagnostic test not a treatment. It is a predictor of Fluid responsiveness
Tintinalli Cardiovascular MCQs
Tintinalli Cardiovascular multiple choice questions MCQs for ACEM Fellowship
Tintinalli Anaesthetic MCQs
Tintinalli Anesthetic MCQs for ACEM Fellowship
Paracetamol…too much, too often?
You are called by a doctor in a remote hospital asking for advice. The doctor is concerned about the risk of hepatotoxicity from repeated supratherapeutic ingestion (RSI) of paracetamol in the following patient:
Poisoning by a mercury thermometer
Your next patient is an 80 year old man suffering from Alzheimer's dementia. He was brought into the ED by his wife and daughter who are his care-givers. He had a recent catheter-associated urinary tract infection and his daughter was checking his temperature orally with a mercury thermometer 30 minutes previously.
Bitten by a Redback Spider
A 27 year-old woman felt a sting on the back of the right leg while pulling on her tracksuit pants. She investigated further and discovered a small black spider, with a red-stripe on its back, crawling around in her tracksuit pants.
Is this a RedBack I see before me?
Doctor X has just assessed a 44 year-old male who thinks he was bitten or stung by something under his house three days ago. The initial discomfort was mild and localized to his right forearm. However the pain traveled up his arm over the next few hours.
Snakebite versus Stickbite
aka Toxicology Conundrum 005 A 20 year-old male was walking in rural New South Wales (Australia!) when he noticed a brown-coloured snake. He was startled and stepped backwards onto a tree branch which snapped under his weight. He then saw…
Suboxone poisoning
The phone rings as you sit down for lunch. You are asked for advice concerning a drowsy 2 year-old boy who was brought in to a Children's Emergency Department by his worried parents.
Strychnine poisoning
Toxicological conundrum on the pharmacological effects of Strychnine toxicity