Aneurysmal subarachnoid haemorrhage – series of presentations

Tweet A Pecha Kucha introducing the topic of aneurysmal subarachnoid haemorrhage. This includes some epidemiology, the initial management and some treatment options. This is the first of five Pecha Kuchas on this topic. Link here…

Delirium in the ICU: an overview

Tweet Delirium is common in ICU patients but often goes undetected. Different instruments have been designed to help in the identification of patients with delirium. Whether the implementation of these instruments leads to better outcomes is not fully established. Nonpharmacological approaches, such as physical and occupational therapy, decrease the duration of delirium and should be […]

THERAPEUTIC HYPOTHERMIA FOR COMATOSE SURVIVORS OF IN-HOSPITAL CARDIAC ARREST

Tweet Large studies report 15 to 20% survival hospital discharge following IHCA1. Fifty-six percent of our patients survived to hospital discharge. The majority of survivors had a good neurologic outcome. Therapeutic hypothermia should be considered for any patient who is comatose following a witnessed, acute cardiac arrest, regardless of the arrest location or initial rhythm […]

Online Emergency Ultrasound Exam

Tweet A website made possible by support from the American College of Emergency Physicians. This has a wide range of teaching videos with testing covering aspects such as Cardiac and Lung imaging. Very useful voice over added to clarify the points made in the tests with videos of actual ultrasound imaging. Highly recommended. Link Here

Pro/con debate: Should PaCO2 be tightly controlled in all patients with acute brain injuries? Stephanie L Go1 and Jeffrey M Singh1,2,3* * Corresponding author: Jeffrey M Singh jeff.singh@uhn.ca

Tweet You are the attending intensivist in a neurointensive care unit caring for a woman five days post-rupture of a cerebral aneurysm (World Federation of Neurological Surgeons Grade 4 and Fisher Grade 3). She is intubated for airway protection and mild hypoxemia related to an aspiration event at the time of aneurysm rupture, but is […]