Amphetamine Toxicity
Sympathomimetic syndrome with potential for life-threatening vascular complications (ischemia, dissection and haemorrhage). Note: ecstasy is also associated with hyponatraemia
Foley Catheter Balloon Tamponade
Use of a Foley catheter (FC, aka urinary catheter) to achieve hemorrhage control in penetrating trauma to the neck
End-Stage Renal Failure
End-stage renal failure has multiple implications for ICU management
Publication Practices Distort Science
Scientific information is an economic commodity, and that scientific journals are a medium for its dissemination and exchange. As such it is subject to economic factors that affect the value of scientific information and how it is exchanged.
CICM SAQ 2010.1 Q6
Question 6. A 20 year old primi-gravida presents at 37 weeks gestation with jaundice, headache, blurred vision and hypertension (140/90mmHg). The antenatal period was otherwise unremarkable. She is febrile, drowsy, pale, icteric and has pedal oedema. The uterus is palpated…
CICM SAQ 2010.1 Q5
Question With respect to pathological conditions of the spinal cord, list 2 causes of and the clinical findings for each of the following syndromes: Complete cord transection Cord hemisection Central cord syndrome Anterior cord syndrome (anterior spinal artery syndrome) Cauda…
Funtabulously Frivolous Friday Five 109
Funtabulously Frivolous Friday Five 109 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
CICM SAQ 2010.1 Q15
Chest compression only CPR should replace the current guidelines on CPR. Critically evaluate this statement.
CICM SAQ 2010.1 Q11
The following set of questions relate to invasive arterial blood pressure monitoring.
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
Nutrition of the Critically Ill Obese Patient
High protein hypocaloric feeding is preferred for critically ill obese patients (supported by SCCM/ ASPEN joint Consensus statement)
Obesity and Pharmacokinetics
Obesity affects all four aspects of pharmacokinetics. As drug administration based on total body weight can result in in underdosing or overdosing, depending on the characteristics of the drug, weight-based dosing scalars must be considered. Lean body weight is the optimal scalar for most IV opioids and anaesthetics