Tag: CMP4

101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical

This post, detailing my reflections on clinical retrieval medicine, is the third in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine.

Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should

JC: Vitamin SCepTiC?

        We all love the idea of a magic bullet for sepsis. Despite having had our fingers burnt here before (like this time, and this time and that time…), the search continues

JC: Are we getting cosy on the septic SOFA? St.Emlyn’s

  Identifying, treating and prognosticating patients who attend the Emergency Department with infective symptoms, is part of the bread and butter of an emergency physician’s practice. It’s important that we identify patients that will develop

Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions

We can be a confused bunch when it comes to sepsis.  We have seen definitions, debates and controversies as to how we treat and what we treat.  Today a new definition was unleashed on the

Maestrini, Frank, Starling, Guyton…….and Fluids at St.Emlyn’s

Intravenous fluids are one of the most frequently implemented interventions that we, as doctors, prescribe. We give maintenance fluids (not so frequently in the ED) and we give resuscitation fluids. Recently the results of the

SPLIT trial published. Saline or Plasmalyte on the ICU? St.Emlyn’s

Paul Young aka @DogICUma is releasing the results of the SPLIT trial in Berlin, right now, in Berlin at the European Intensive Care Society meeting. I was lucky enough to meet Paul at SMACC in

Lactate = LactHATE

  Like many others who attended SMACC earlier this year I returned home dazed and confused about the significance of lactate in the septic patient.  So like any good (aspiring to be) evidence-based medicine practitioner,

Sepsis 2015: EGDT without the “G”?

  Sepsis has been a big topic of research over the years (understatement), and the last 18 months have seen the publication of data that has made us, once again, rethink how we approach these

The ProMISe Study: EGDT RIP?

Today is another landmark in the history of sepsis research. The long awaited results of the ProMISe trial are finally published in the New England Journal of Medicine. At 56 hospitals across the United Kingdom