Intra-Aortic Balloon Pump Overview
Intra-Aortic Balloon Pump (IABP) or intra-aortic counterpulsation device the balloon is inflated during diastole to increase coronary perfusion and then deflated during systole to decrease afterload
Nosocomial Pneumonia
Nosocomial or hospital-acquired pneumonia (HAP) is defined as pneumonia that is not incubating at the time of admission to hospital and develops in a patient hospitalised for >48 hours.
The Doct-Aviator
Much has been said about how medicine should strive to emulate the enviable safety record of the aviation industry. This has led to a thorough examination of how the two “industries” compare and contrast. One of the more interesting comparisons…
Medical Reversal
Medical reversal is the phenomenon of a new superior trial arising that contradicts current clinical practice. Many claims that specific treatments have a benefit have turned out not to be true.
Role of the Consultant
A simple question – what is the chief function of the consultant? The answer is probably the same, regardless of what you mean by ‘consultant’. In the anglo-antipodean world ‘consultant’ typically means a doctor who has completed their specialty exams…
Pediatric Anaphylaxis
Pediatric Anaphylaxis overview
Long-term cognitive impairment in Critical Illness
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
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)