Wheeze DDx
Wheeze indicates lower airway obstruction, which can be due to the following factors: luminal; intramural; extramural
Advanced Life Support
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)…
COATPEGS
COATPEGS is an acronym used as a memory aid for the important types of metabolic disturbance
Percutaneous Valve Replacement
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…
Funtabulously Frivolous Friday Five 108
Funtabulously Frivolous Friday Five 108 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Professor Elemental connected to IDC
UCEM recognises the meritorious wearing of fighting trousers by Professor Elemental and ZDoggMD.
CICM SAQ 2010.1 Q18
Questions 18. A previously fit and well 24 year old man sustained an isolated C5-C6 spinal injury following a diving accident resulting in a tetraplegia. The spinal fracture was surgically fixed the following day and the patient was extubated on…
Capnography in Cardiac Arrest
Current ILCOR guidelines advise that capnography is useful during cardiac arrest resuscitation. ETCO2 can be used as a surrogate marker of cardiac output
Medically cleared?
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?
Bullet in the Head
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.
Look left, look right
An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?
Eye movements, coma and pseudocoma
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?