Critical illness is associated with a spectrum of neurological failure (largely under-reported), including polyneuropathy, encephalopathy and long-term cognitive impairment after critical illness (LTCI-CI)
Septic encephalopathy is brain dysfunction mediated by the septic inflammatory response, independent of other co-existent causes such as liver or renal dysfunction
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department… Act II and epilogue
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.
Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?
Urinary anion gap (UAG): Differentiate renal or GIT cause of HYPERchloraemic metabolic disorders; or Normal anion gap metabolic acidosis (NAGMA)
Intensive Care Network and Dr Hergen Buescher present 3 videos on 'owning the ECMO'!
C. H. Joseph Chang (1929 - 2017) was an American radiologist. Chang sign (CXR finding in pulmonary embolus) decribed in 1965
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
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 (CO) is a colourless, odourless gas produced by incomplete combustion of carbonaceous material. CO poisoning may be acute or chronic
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.