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)

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The End tidal CO2 (ETCO2), is measured at the end of expiration and used to confirm that the patient is being ventilated and during cardiac arrest. It...

The best way to manage the airway during cardiac arrest, has remained somewhat of a mystery. We don’t know how much tidal volume to give, were not sur...

Do steroids decrease mortality in patients with severe community acquired pneumonia?

Community acquired pneumonia is the leading cause of death from ...

 The Case

A 35 year old woman, who is a known intravenous drug user, is admitted with septic shock secondary to bacterial endocarditis. She is acidot...

In this Papercut review we look at some major studies and what they tell us about the use of Adrenaline in cardiac arrest. Adrenaline is the most used...