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 […]

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Simple Trial Searcher

Select the intervention / condition / study from the drop downs and hit search. alternatively just start typing in the ‘search’ box and it’ll udpate live. If you want all ACS-related stuff, type ACS into the search bar. If you want just the ACS stuff related to NSTEMI, consider the dropdown instead. Search ICU Trials […]

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Calculator: Shunt Equation

The Berggren Equation, also known as the shunt equation. Berggren Equation Shunt Fraction Qs/Qt = (CcO₂ − CaO₂) / (CcO₂ − CvO₂) Inputs Units mmHg kPa CcO₂ [PAO₂] Calculate mmHg CaO₂ [PaO₂] mmHg CvO₂ [ScvO₂ surrogate] mmHg Alveolar Gas Calculation (PAO₂) Assume sea-level: PB=760 mmHg (101.3 kPa), PH₂O=47 mmHg (6.3 kPa), RQ=0.8 FiO₂ (%) % PaCO₂ (mmHg) Equation PAO₂ […]

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Dimensionless Index

What a stupid name. Nonetheless it’s what we’re stuck with. It is the ratio of LVOT VTI to AV VTI. Given that ALL ratios are dimensionless, you can see my chagrin. VTI LVOT / VTI AV LVOT is measured with pulse wave, to localise it to the LVOT AV VTI is measured with continuous wave, […]

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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 […]

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Death

Death is defined variably (or not defined at all) in jurisdictions around the world, but are mostly similar. What follows below are the two types of determination of death, as recommended in the ANZICS Statement on Death and Organ Donation Neurological Determination of Death Preconditions Clinical testing Cranial Nerves Tested (II – X) Reflex Afferent […]

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