Septic encephalopathy
Septic encephalopathy is brain dysfunction mediated by the septic inflammatory response, independent of other co-existent causes such as liver or renal dysfunction
A Mortal Battle with Four Hour Medicine II
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department… Act II and epilogue
A Mortal Battle with Four Hour Medicine
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department... Act 1: The Existential Installment and Act 2: The Clinical Section...WITH a cliffhanger.
Are you Satisficed?
Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?
Urine Electrolytes
Urinary anion gap (UAG): Differentiate renal or GIT cause of HYPERchloraemic metabolic disorders; or Normal anion gap metabolic acidosis (NAGMA)
Own the ECMO!
Intensive Care Network and Dr Hergen Buescher present 3 videos on 'owning the ECMO'!
C. H. Joseph Chang
C. H. Joseph Chang (1929 - 2017) was an American radiologist. Chang sign (CXR finding in pulmonary embolus) decribed in 1965
Transjugular Intrahepatic Portosystemic Shunt
Transjugular Intrahepatic Portosystemic Shunt Procedure (TIPS) involves accessing the internal jugular vein and IVC to place a stent between the hepatic and portal veins using a needle
Beta-Blocker Overdose
Updated 2nd July 2024 OVERVIEW TOXICODYNAMICS TOXICOKINETICS RISK ASSESSMENT Onset Propanolol Patient factors General clinical features Propanolol (“sodium channel blocker masquerading as a beta blocker”) Sotalol MANAGEMENT Resuscitation Supportive care and monitoring Investigations Decontamination Enhance elimination Antidotes Disposition CONTROVERSIES References…
Carbon Monoxide Poisoning
Carbon monoxide (CO) is a colourless, odourless gas produced by incomplete combustion of carbonaceous material. CO poisoning may be acute or chronic
Entrapped
You are handed over a patient by a colleague (that's a 'handoff' to you Yanks)... He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.
Adrenaline
Adrenaline (epinephrine); catecholamine; direct acting sympatheomimetic -> alpha & beta agonist; low doses -> beta-effects -> increase HR and Q; higher doses -> alpha-effects; maintains coronary & cerebral blood flow