A review of the current literature and thoughts on the concerns of etomidate in sepsis, and the effects of its transient adrenal suppression on patient outcome.
A review of the past 50 years of the supraclavicular approach to subclavian central venous catheter placement. Email me if you want the background articles.
An overview of how to calculate delta gap and delta delta and the use of that value to figure out if a patient has an extra metabolic process. Also covers the causes of anion gap acidosis, non-gap acidosis, and metabolic alkalosis.
So, hypothermia has been around for a while...
Note: the study was in adults with VF/pulseless VT arrest only!!!
75/136 (55%) had a favorable neurologic outcome in the hypothermia (cooling to 32-34 degrees with extrenal cooling) group vs 54/137 (39%) in the control (RR 1.4). Mortality was also lower at 6 months in the hypothermia group. Complication rates were similar.