Patients with subclinical atrial fibrillation, detected by implantable devices, have an increased stroke risk, although not as great as that of patien...

The first thing you might say is, "Why's should I care about subclinical Atrial Fibrillation, I work in Emergency Medicine?" Perhaps, this will guid...

Emergency airway management and specifically intubation can be associated with significant adverse events, related to the airway itself (failed intu...

A 78 yo patients presents with tachycardia and hypotension. There has been a recent episode of dysuria and the diagnosis of urosepsis is made. Antibio...

This papercut comes from an editorial in Resuscitation, where they chose four important multi centre RCTs with large sample sizes, published in 2023...

Mortality in elderly patients with cariogenic shock is high... in some studies, greater than 75%. This review is of an AHA Scientific Statement  Circu...

Vasopressin is often used as a second line agent to Noradrenaline in septic shock. The usual approach to sepsis is commencement of fluids and if a m...

Haber E.N et al. Accuracy of Noninvasive Blood Pressure Monitoring in Critically ill Adults. J Int Care Med. 2024, Jan 12 (Ahead of Print.) PMID: 38...

Cardiac arrest has a poor survival rate. In this study Okubo et al(1) tried to address the question of adrenaline or airway first, in out of hospital ...

The pulse check has been an important part of the assessment of unresponsive patients. It may be the determining factor in making the decision to co...

The CASE 

A 28 yo patient is brought in by ambulance with a depressed conscious state. The ambulance was called by friends who give a history of th...

 A literature review of the latest in Bronchiolitis management. Also a review of thermometers (or as we like to call them random number generators)

 ...