Verdant waste
You manage a young male with a subarachnoid haemorrhage. You are called to review because the patient has started to pass green urine
The Dark Art of IVC Ultrasound
Justin Bowra flexed his skeptical muscles as he took on the dark art of IVC Ultrasound at SMACC in his talk on 'IVC Ultrasound: The Ultimate Myth'.
How Green is my urine
Casual perusal of the output from a patients indwelling catheter revelaed green urine. What are the commonest causes of this unusual urine?
Insulin for verapamil overdose
Early use of high-dose insulin euglycemic therapy (HIET) for verapamil toxicity (Calcium channel blocker toxicity)
Sailing expeditions gone wrong
Ah, sailing. The joy that can be had utilizing just the wind to move effortlessly across the water. At least, that’s what it looks like to the untrained observer. Even casual sailing requires a bit of effort, and if there’s…
Albrecht von Graefe
Albrecht von Gräfe (1828 – 1870) was a German ophthalmologist. Founder of scientific ophthalmology, Graefe sign (1864)
CCC Update 001
An update on what's new and what's been polished up a bit in the Critical Care Compendium. We highlight topics on tracheostomy, ventilator discontinuation and extubation.
Where are the lemons?
You are wandering past the bedside of a 42 year old male with a cerebral abscess…and you notice he has orange urine. Unusual Urine.
3D Printing – How does it make those models?
3D Printing – How does it make those models? 3D printing, also called additive manufacturing, comes in a couple of different forms but these all essentially boil down to one of two processes
Therapeutic Hypothermia
This page requires revision OVERVIEW the currently preferred term for therapeutic hypothermia is targeted temperature management (TTM) induced hypothermia successfully used in cardiac surgery -> protects against global cerebral ischaemia (deep hypothermic arrest) described since the 1950s in various clinical…
Oxygenation Indices
Reviewed and revised 6 January 2016 OVERVIEW This page summaries different indices used to quantify pulmonary oxygenation Measured intrapulmonary shunt is the gold standard test for determining pulmonary oxygen transfer Indices are either tension-based or content-based (aka concentration-based) tension-based indices…
Intubation of the Neurocritical Care Patient
Revised and reviewed 29 March 2017 OVERVIEW The semi-elective intubation of neurocritical care patients requires a modified technique to avoid the harmful consequences of intubation, which include: USE OF THIS APPROACH This approach is suitable for patients with: It is not…