Fulminant pneumococcal pneumonia
A 27 year old female with metastatic ovarian cancer for whom treatment options have been exhausted arrives in the ED in extremis.
Gram Negative Diplococci
21 year-old presenting to the emergency department with fevers and agitation. His lumbar puncture confirms Gram Negative Diplococci
Gastric Residual Volume
Gastric residual volume is the amount aspirated from the stomach following administration of enteral feed. An aspirated amount of ≤ 500ml 6 hourly is safe and indicates that the GIT is functioning
Best use for a bougie?
Much to our disgust EMCrit beat us to this one, hands down. But, given that the bougie is my favourite piece of kit and best buddy in the resus room, I’ve gone ahead and reposted these videos on LITFL. They…
Befriend the bougie!
OK people, time to share. Following on from befriend the bougie! @MDaware shared a great tip about using the bougie to assist in intercostal catheter placement in obese patients. Indeed, I suggested that the bougie is so fantastic, if there…
Paediatric Life Support
KEY FEATURES CAB (ERC still advocates 5 initial rescue breaths) good quality CPR in 15:2 ratio removal of ‘look, listen, feel’ de-emphasis on pulse check AED and defibrillation use encouraged (infants manual defibrillation) capnography recommended defibrillation: 4 J/kg adrenaline 10…
Pancreatitis
Pancreatitis is inflammation of the pancreas and involves activation of proteolytic enzymes that may progress to haemorrhagic necrosis of the pancreatic parenchyma
Funtabulously Frivolous Friday Five 106
Funtabulously Frivolous Friday Five 106 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Dissociated Oxygen Saturations
What is the explanation for the discrepancy between the oxygen saturations on pulse oximetry and on arterial blood gas analysis in this patient?
Managing the Critical Bleeder!!
What are the definitions used to define "Critical Bleeding" and "Massive Transfusion"?
Recombinant Factor VIIa to the rescue!?
The trauma room has turned into a blood bath. You're going to have to buy new shoes. What should you throw at the patient - the kitchen sink or Factor VII?
Dealing with D-dimer debacles
An intern in the emergency department has been nervously standing behind you for the past ten minutes while you've dealt with a barrage of phone calls. He wants to discuss the positive d-dimer result of the patient he is working up. Y