End Of Life Discussions
TweetHere is an example of how to begin the discussion I would like to speak to you in private about some important things concerning your father. Based on our most recent… Read more »
Monthly Archives: September 2016
Neoplasia – in a nutshell
Tweet Causes Usually chronic or recurrent exposure to: Biological agent e.g. HPV – cervical cancer Radiation e.g. UV radiation – skin cancer Chemical agent e.g. smoking – lung cancer Strong… Read more »
The ECG and Electrolyte Abnormalities
TweetINTRODUCTION Various electrolyte disorders can result in abnormalities to the resting ECG ranging to clinically significant arrhythmias Hyperkalaemia is the commonest abnormality that can lead to significant arrhythymias General factors… Read more »
Chest pain – A Clinical Approach
TweetIntroduction A common complaint This article refers to chest pain which is non-pleuritic (dull and poorly localised versus sharp, catching and clearly exacerbated by deep inspiration). If the patient is… Read more »
Chest Pain – Causes
TweetIntroduction Assuming the patient is not critically unwell or has ECG findings of a STEMI, then a more systematic history should be taken Chest Pain can arise from several organs: heart,… Read more »
Chest Pain – Critically Unwell
TweetIntroduction A rare event The patient presents with chest pain and critically unwell with significant hypoxia, respiratory distress and/or hypotension. Most are due to acute complications, some are the result… Read more »
Acute Coronary Syndromes
TweetIntroduction Implies that there is a dynamic coronary occlusion usually due to atherosclerotic plaque rupture and thrombus formation. It may or may not result in myocardial injury. Classically causes unprovoked… Read more »
BLS Script – DRSABC
Tweet Memorising a script will make re-accreditation easy and less stressful This one is for Paediatrics…. D – “I will only approach the patient if there is no apparent danger… Read more »
Clinical Documentation
TweetIntroduction Good documentation is easy to follow, provides a logical explanation of the conclusions made, the response to interventions and makes clear the way forward Bad documentation results in misled… Read more »
Shock – Bedside Ultrasound Guided Management
Tweet Introduction Cardiac Ultrasound is a non-invasive adjunct in the evaluation and management of shock by those involved in critical care Ultrasound has value in evaluating volume status and cardiac function It… Read more »