Test Characteristics of Ultrasonography for the Detection of Pneumothorax – Chest 2012

Tweet Performance of ultrasonography for the detection of pneumothorax is excellent and is superior to supine chest radiography. Considering the rapid access to bedside ultrasonography and the excellent performance of this simple test, this study supports the routine use of ultrasonography for the detection of pneumothorax. Link to research paper here…

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

High-dose Norepinephrine Treatment

Tweet In conclusion, high 28-day mortality of critically ill patients with shock who received high-dose norepinephrine in the ICU does not seem to be associated with underlying disease and comorbid conditions, the cause of shock, or dose or duration of norepinephrine treatment. However, our data suggest that treatment with norepinephrine is futile in patients with […]

NODESAT -Preoxygenation and Prevention of Desaturation During Emergency Airway Management

Tweet This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of hypoxemia during emergency tracheal intubation of adult patients. It introduces a risk-stratification approach based on initial pulse oximetry level in response to oxygen administration and provides recommendations about specific techniques based on periprocedural risk. Techniques reviewed include positioning, preoxygenation and denitrogenation, […]

Advanced life support and mechanical ventilation

Tweet Is there a need for active ventilation during ALS? Could we go passive? Some discussion….here

Association between Antibiotic Treatment and Outcomes in Patients Hospitalized with Acute Exacerbation of COPD Treated with Systemic Steroids.

Tweet ABSTRACT BACKGROUND: Antibiotics are widely used in acute exacerbation of COPD (AE-COPD), but their additional benefit to a therapeutic regimen that already includes steroids is uncertain. We evaluated the association between antibiotic therapy and outcomes among a large cohort of steroid treated patients who were hospitalized with AE-COPD and compared the effectiveness of three […]

Increased referrals for CTPA but no reduction in mortality.

Tweet Design and setting: Retrospective audit of the WA picture archiving and communication system, PathWest Laboratory Medicine records, the hospital morbidity database at the four adult teaching hospitals in Perth, WA, and the WA death registry. Conclusions: The increased number of referrals for PE-related imaging resulted in more diagnoses but no reduction in deaths from PE in […]

High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome

Tweet In conclusion, in adults with moderate-to-severe ARDS, the early application of HFOV targeting lung recruitment — as compared with a ventilation strategy that uses low tidal volume and high PEEP and that permits HFOV only in cases of refractory hypoxemia — does not reduce mortality and may be harmful…link here