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
Funtabulously Frivolous Friday Five 104
Funtabulously Frivolous Friday Five 104 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Ideal Transport Monitor
Ideal Transport Monitor: most important monitor is clinical observation but parts of the clinical assessment (ie. auscultation) can be impossible.
Glasgow Coma Scale (GCS)
The GCS is a neurological scoring system used to assess conscious level after head injury
Teasdale and Jennet invented the GCS in 1974
Aeromedical Transport of the Critically Ill
Aeromedical Transport of the Critically Ill; risks of transport has to be weighted up against the benefit offered by facility
Ultrasound Case 064
A 15 year old boy has had vomiting and diarrhoea for 2 days. He has developed increasing right iliac fossa pain which has suddenly increased and is colicky in nature.
Transferring the Critically Ill
Transferring the Critically Ill: key principle is that the standard of care should not decrease during or after retrieval of a critically ill patient
Fragility Index
OVERVIEW The Fragility Index is the minimum number of patients whose status would have to change from a nonevent to an event that is required to turn a statistically significant result to a non-significant result The smaller the Fragility Index,…