Ok, so classically we talk about transudates vs exudates by pleural fluid analysis. I’ll reframe this (I’m sure it’s already obvious to you, but hey) as ‘how can we diagnose an exudate, and the cause’ Protein & LDH Differential Glucose pH Amylase Cholesterol
Read More »Locations of major topic guidelines, in alphabetical order by subject Death & Organ Donation: ANZICS Statement DKA (adult): JBDSIC (3ed) 2022 ECMO Guidance: ELSO Guidelines Extracorporeal treatments in toxicology: EXTRIP Recommendations Resuscitation: ARC Guidelines TBI: BTF Guidelines (4ed) 2016 Patient Transport: ACEM/ANZCA/CICM Guidance British Thoracic Society: BTS Guidelines
Read More »There are really 3 types of thing to image when we are talking about C-spine injury The modality of choice depends on the structure of interest: Various features favour one over the other: Feature CT MRI Availability Widely available Limited availability Gold standard for: Bony injury Soft tissue & neural injury Radiation Some (potentially vulnerable […]
Read More »Great little article on a DDx flowchart for the Reverse Halo Sign on CT. Godoy MC, Viswanathan C, Marchiori E, Truong MT, Benveniste MF, Rossi S, Marom EM. The reversed halo sign: update and differential diagnosis. Br J Radiol. 2012 Sep;85(1017):1226-35. doi: 10.1259/bjr/54532316. Epub 2012 May 2. PMID: 22553298; PMCID: PMC3487053.
Read More »Explain it to me. Also known as Umbrella trials, or Basket trials (but Platform trial sounds cooler), they focus on the disease of interest, and are based on a master protocol which allows for varying groups for analysis against a control group. Technically, they are a type of Adaptive, Multi-arm, Multi-stage trial (but even better) […]
Read More »Hawryluk, G.W.J., Aguilera, S., Buki, A. et al. A management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC). Intensive Care Med 45, 1783–1794 (2019). https://doi.org/10.1007/s00134-019-05805-9 Tier ZERO – Basic neuroprotective care, irrespective of ICP Tier ONE ICP-lowering techniques Targets Actions Tier TWO ICP-lowering techniques Targets as above, except: Actions Tier […]
Read More »ACEM & CICM vary slightly in the exact terminology they use, but the process of complaints management is largely similar. The above can be fleshed out, but that’s the skeleton.
Read More »It’s a commonly reported chemical reaction that IV calcium given in the same line as IV Bicarbonate causes the formation of Calcium Carbonate (i.e. limestone) in the IV. But does it really? (spoiler alert: YES!) It’s pretty quick too – I made a little video with the help of my friends in the Pathology Lab. […]
Read More »Pre-operative assessment Pre-operative management Intraoperative management Post-operative management
Read More »Distinctive CT findings of this condition & markers of severity Indications for surgery 24-48h management plan
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