Category Archives: Uncategorized

BP MANAGEMENT IN BRAIN BLEEDS

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.






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FLUID RESPONSE – SMACC DEBATE

This was one of my favourite SMACC CHICAGO debates: “Predicting Fluid Responsiveness is a Waste of Time” on fluid management, Rob MacSweeney pokes at the fluid response hero/enfant terrible Paul Marik. Great points by both, and Rob’s cartoon is epic! … Continue reading






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ONSD NORMAL VALUES

Optic Nerve Sheath Diameter (ONSD) on ultrasound has been used to identify patients with high intracranial pressure. ONSD threshold measurements for high ICP range from 5 to 6mm. Unfortunately there´s not really been any reference values. A study in Journal of … Continue reading






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HITCHEN´S RAZOR

“What can be asserted without evidence can be dismissed without evidence.”  






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OWN THE O.G.

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 | 7 Comments

ON BEING A JERK

Quickie post about an interesting paper I found. Now there is actual evidence of how being a jerk negatively impacts on team performance. An Israeli paper looks at how being exposed to rudeness affects teams in emergent situations.






Posted in Emergency Medicine, Medical teaching, Paediatrics, Uncategorized | 1 Comment

SMACC DUB 2016 JUNE 13-16

After a fantastic SMACC conference in Chicago this Summer, preparations for next year’s SMACC in Dublin is well under way. As a conference for Social Media And Critical Care, the SMACC conference is not just an update on cutting edge … Continue reading






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CRACK THE CHEST – GET CRUCIFIED

This is John Hinds. Recorded at the fantastic SMACC Chicago conference, June 24th 2015. Also, if you do any ICU stuff, go over to EMCRIT at this link and listen to John’s brilliantly provoking ICU talk. This is sheer genius … Continue reading






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IMAGING CASE OF THE WEEK






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PREHOSPITAL EXTRICATION TIMES

Car accidents with trapped victims can be incredibly frustrating. There is often very little one can do until the rescue services achieve extrication. Sometimes, because of limited patient access, all you can achieve during extrication is some very basic airway management, pain … Continue reading






Posted in Prehospital Medicine, Uncategorized | 5 Comments