Don't Forget the Bubbles
JANUARY 10, 2024
Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.
Don't Forget the Bubbles
NOVEMBER 27, 2023
Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. After 40ml/kg of IV 0.9% The CRT is unchanged.
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EMDocs
AUGUST 22, 2023
ETCO 2 correlates with blood pressure, lactate, and base excess in critically ill patients. Capnography has several novel uses in other disease states commonly seen in the ED such as trauma, DKA, sepsis and obstructive lung disease. Further Reading : [link] [link] References: Long B, Koyfman A, Vivirito MA.
Don't Forget the Bubbles
JANUARY 1, 2024
2023 Dec 12 Pediatric Sepsis Diagnosis, Management, and Sub-phenotypes. Hemoglobin Threshold for Blood Transfusion in Young Children Hospitalized with Iron Deficiency Anemia. Point-of-care ultrasound for non-vascular invasive procedures in critically ill neonates and children: current status and future perspectives. Pediatrics.
Emergency Medicine Ireland
OCTOBER 17, 2022
An intensive care unit admission is bad for cancer as there is a sort of immunosupression that comes about with being critically ill, leading to depletion in things like natural killer cells who were rightfully killing off cancer cells till the pneumonia, steroids and blood transfusions came along.
Taming the SRU
APRIL 3, 2023
Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9%
Mind The Bleep
JULY 23, 2023
Increased risk in growth restricted infants, premature babies, maternal drug abuse, formula fed babies, infants receiving blood transfusions. Medical Differentials for Bilious Vomiting: Sepsis Incidence : 22 per 1000 liver births Cause: Most commonly group B strep which has colonised the vaginal canal.
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