Category Archives: Intensive Care

SHOCK LIVER AFTER CARDIAC ARREST

Posted on May 26, 2016 by K

Interesting paper in AJEM. Hypoxic hepatitis (HH), ‘shock liver’, is defined as an increase in serum aminotransferase levels (20 times the upper normal level) after respiratory or circulatory failure. It is commonly seen in critical illness and after cardiac arrest. In … Continue reading →






Posted in Cardiology, CPR, Intensive Care, Uncategorized | Leave a comment

BP MANAGEMENT IN BRAIN BLEEDS

Posted on April 21, 2016 by K

There´s a nice Best BET mini review in EMJ April 2016. The authors ask if it is safe and beneficial to control hypertension in the acute/hyperacute phase (~<6h from presentation) in patients with acute intracerebral haemorrhage.






Posted in Emergency Medicine, Intensive Care, Neurology, Prehospital Medicine, Uncategorized | 1 Comment

LUNG US AND BNP

Posted on January 18, 2016 by K

A small study in Ann Intensive Care reminds me that lung ultrasound is  good at detecting heart failure and differentiating against other causes of acute dyspnoea.






Posted in Emergency Medicine, Intensive Care, Ultrasound | Leave a comment

OWN THE O.G.

Posted on November 13, 2015 by K

Passing the orogastric tube can be difficult or sometimes impossible. Unfortunately a lot of patients really need their OGs and in a time-critical scenario you don’t want to spend too much time struggling with it. Here is a simple trick a senior … Continue reading →






Posted in Airway management, Anesthesia, Emergency Medicine, Intensive Care, Prehospital Medicine, Uncategorized | 8 Comments

PERIPHERAL NORADRENALINE

Posted on June 10, 2015 by Thomas D

Peripheral noradrenaline (or norepinephrine), or any peripheral pressor, is shunned in many centers. High doses can cause gangrene. If extravasated, it can cause tissue necrosis. But is this a big risk? Also, weighing against the risks of CVC or delayed … Continue reading →






Posted in Anesthesia, Emergency Medicine, Intensive Care | 7 Comments

EGDT IS DEAD, LONG LIVE EGDT

Posted on March 21, 2015 by Thomas D

And so the EGDT trilogy is complete. The results of the ProMISe trial was published, after we’ve recently had the results from the ARISE and ProCESS trials. They all compared EGDT (Early Goal-Directed Therapy) to “standard care”. And they were … Continue reading →






Posted in Emergency Medicine, Infectious diseases, Intensive Care | 5 Comments

ECMO – MIXING IT UP

Posted on February 17, 2015 by Thomas D

ECMO is all the rage, and ScanCrit is a fanatical believer. However, ECMO has its problems and challenges. The challenge we’ll look into here, is choosing between VV or VA ECMO – sometimes the choice is straightforward, other times not. … Continue reading →






Posted in ECMO, Intensive Care | 2 Comments

AVOID THE OXYGEN REFLEX

Posted on November 26, 2014 by Thomas D

We’ve been waiting for the AVOID study, since we mentioned it a few years ago in another post on the harm of excessive oxygen. AVOID (Air Versus Oxygen in Myocardial Infarction). Now, it’s out. As expected, it shows that unnecessary … Continue reading →






Posted in Cardiology, Emergency Medicine, Intensive Care | 31 Comments

I AM THE RESURRECTION

Posted on October 9, 2014 by Thomas D

If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading →






Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | 3 Comments

THE BOTTOM LINE

Posted on September 10, 2014 by Thomas D

While we at ScanCrit were thinking about what a great idea it would be, The Bottom Line just went ahead and did it. And they’re still doing it: Making a library of the key articles and most important trials in … Continue reading →






Posted in Intensive Care | Leave a comment