Enterocutaneous fistula

The approach is graphically summarised here. It’s based on Alex Yartsev‘s awe-inspiring Deranged Physiology post, as well as  Cohen et al (2016),  Lundy & Fischer (2010) and Evenson (2016). The final decision-loop ignores the third possibility, which is that the patient is stable enough to go on living with a chronically-discharging ECF. I had to draw the line … Read more

Organ Donation

What follows is a curated distillation of the ANZICS Statement on Death and Organ Donation. Donation after Circulatory Determination of Death (DCDD) Maastricht classification – only 3 & 4 used in Aus/NZ Category Context Warm ischaemic time Degree of control Category 1 Dead on arrival Unknown Uncontrolled Category 2 Failed resuscitation (ED or ICU) Known … Read more