Archive for June 2018
Rapid IV Fluid Administration Does NOT Affect Neurological Outcome in Children with DKA
HOT OFF THE PRESS: A new clinical trial showing that rapid IV fluid administration does not affect neurological outcome in children with DKA, as has previously been thought. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. N Engl J Med 2018; 378:2275-2287 The Numbers This was a randomised controlled trial in 13 centres.…
Read MorePericardiocentesis
How to Perform Pericardiocentesis Pericardiocentesis is used to treat symptomatic pericardial effusions and cardiac tamponade. It was first described in the 1650’s and since the introduction of the subxiphoid approach in 1911, has been used very successfully, with significant reduction in morbidity and mortality. The use of echocardiography and other guidance techniques have reduced the…
Read MoreHow to Diagnose the Patient with Vertigo in 5 steps
How to Diagnose the Patient with Vertigo in 5 steps This week it’s all about the ‘dizzy’ patient, or that patient with vertigo. I recently spoke at EMCORE Melbourne and went through my step by step approach of sorting, in my mind at least, the potential causes of the ‘dizzy’ patient. Below is a summary…
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