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The PROMISE trial; is this the end of EGDT???

Trial of Early, Goal-Directed Resuscitation for Septic Shock NEJM March 17 2015   Sepsis has been in the EM literature a lot over the past 12 months. Add this content to your CPD

Clinical Topics

Thrombolysis for presumed MI in cardiac arrest

You’re in resus leading a cardiac arrest. Lying on the trolley is Dave, a 45 year old male, known hypertensive and type 2 diabetic. Add this content to your CPD

Clinical Topics

pH on the gas, should it influence you cardiac arrest prognostication??

It’s a common scenario in multiple ED’s every single day; The pre hospital cardiac arrest has arrived in your resus. They’re undergoing ALS, the team has run through their 4H’s and 4T’s. So far they haven’t been able to achieve a ROSC and are at a tipping point. They’re wondering whether continuing with this resuscitation

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Urine testing; who gets the antibiotics??

Just to let you know, the patent in cubicle 7 has got a UTI, can you prescribe her some antibiotics? Err, I guess so. How do you know? Well she just went for a wee, it looks infected and and she’s got leucocytes on her dipstick….. We’re often led by tests that we haven’t ordered

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Septic Arthritis; waiting for the bloods…..

If you’ve worked in Emergency Medicine for any period of time then you can’t have avoided this conversation….. ED Dr  ‘Hello I’ve got a patient I’d like you to see. They’ve got a hot swollen knee, no history of trauma, unable to weight bear and a normal X-ray. I’m pretty sure they’ve got a septic

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Assessing fluid status; USS and the IVC

Fluid resuscitation represents the bedrock of initial treatment in the critically ill and injured patient with shock. In

Clinical Topics

Central Venous Pressure and fluid responsiveness

Download Central Venous Pressure and fluid responsiveness powerpoint Since Rivers’s publication of Early Goal Directed Therapy (EGDT) at

Clinical Topics

Framingham Risk Factors in the ED; from the CFN podcast

‘More Framingham resources can be found here’ Add this content to your CPD

Clinical Topics

HIV testing in the ED

College of Emergency Medicine; HIV testing in the Emergency Department Add this content to your CPD

Clinical Topics

A shocking pause

Download a shocking pause powerpoint Add this content to your CPD

Clinical Topics

Lactate & lactate clearance

A patients lactate is something that we often want to know, but how much do you really understand about it’s significance and what is lactate clearance all about? Download supporting powerpoint Add this content to your CPD

Clinical Topics

Can you see the Cords; video laryngoscopy vs direct laryngoscopy in the ED

Whilst the embedded management of the airway in ED is via direct laryngoscopy, advances in technology and equipment leads to multiple alternatives in the form of video laryngoscopy. We look at a recent systematic review looking at this topic. Download supporting powerpoint Add this content to your CPD

Clinical Topics

The ARISE trial; septic shock, EGDT or give it your standard best?

The ARISE trial, following on from the ProCESS trial, is there a different message or is EGDT a thing of the past? Download the supporting PowerPoint presentation Add this content to your CPD

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