CCC Update 014
Here is the 14th update to the Critical Care Compendium, your LITFL guide to the core and not-so-core knowledge base required of a critical care physician.
Pulmonary Oedema Case 1
It is 8am and a 72 year old male is brought in by the paramedics. The patient is sitting upright, sweaty, and in severe respiratory distress.
The Triage Game
One for all the ED Nurses out there: The triage game is really toughYou tell us your story and woeful stuffWe listen an take in your ridiculous guffYoull get category 5 which is really rough.There’s a chest pain inside whose…
Mastering Intensive Care 037 with Michael O’Leary
Interview with Michael O’Leary – Dealing with the frustrations of the changing ICU landscape (SG-ANZICS special episode) Our ICUs might be growing larger in size but there seem to be the same number of very sick patients to care for…
You can overdo heat stroke treatment
Heat stroke can kill. This isn’t debatable. And mortality is linked to duration of hyperthermia. Thus, prehospital treatment of heat stroke improves mortality.
CCC Update 013
The latest update of major additions and revisions to the Critical Care Compendium. Topics featured include: driving pressure, PEA, sepsis definitions, sepsis biomarkers, procalcitonin, as well as open chest and delayed sternal closure.
Hemophagocytic lymphohistiocytosis
Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of pathologic immune activation characterized by clinical signs and symptoms of extreme inflammation
Ultrasound Case 042
A 70 year old man presented with acute urinary retention. Insertion is difficult and ultrasound is used to ensure the catheter reaches the bladder before it is inflated.
Venom extraction kits. Seriously, just don’t.
Clinicians mostly know about venom extractors and why they don’t work, this hasn’t trickled down to the lay public unfortunately.
CCC Update 012
The 12th update to the Critical Care Compendium, with ECMO, cardiac arrest after cardiac surgery, gas embolism, apnoeic oxygenation, & more!
Ultrasound Case 041
An 83 year old woman with sepsis and acute kidney injury is being managed in your resuscitation area. A urinary catheter has been placed to monitor urine output. After an hour there is no urinary output at all.
A novel prevention for acute mountain sickness
Should artificial pneumoperitoneum should be considered for AMS prevention in persons who must ascend to high altitude and begin work without rest and acclimation.