Otitis media

A 2 year old presents to ED with pyrexia – he’s pulling at his ear constantly in the waiting room.   Cite this article as: Miers, J. Otitis media, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3131

Cloud Storage Options For Medics

There comes a time in any young medic’s life, when you realise that keeping vital documents on USB sticks or attached to random emails is slightly precarious! Here we consider the two main online storage options and explore a number of honourable mentions… Google Drive Google is the biggest name on the web but was…

Inotropes and vasodilators

Vasodilators: Decreasing the pressures against which the heart works (systemic and pulmonary afterload); decreasing the work of the heart hence myocardial O2 demand. Usual indications for vasodilator therapy are: systemic vasodilation (LV afterload reduction), pulmonary vasodilatation (RV afterload reduction), systemic hypertension, improving coronary blood flow. Beware that infants, in response to low CO, increase afterload…

Anaphylaxis and dosing errors

Medication errors are a particular area of interest for me, so this paper caught my eye….here’s my summary of it. Cite this article as: Davis, T. Anaphylaxis and dosing errors, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3113

Therapeutic hypothermia - ice

Therapeutic hypothermia

A 4 year old girl presents to ED in cardiac arrest. After a dramatic resus, you and the team were able to bring her back but she remains unconscious. Cite this article as: Ings, A. Therapeutic hypothermia, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3048

Haemofiltration and dialysis

Indications: Correction of water overload To remove larger quantities of water from the body than the kidney is able to achieve in order to enable the administration of therapeutic fluids such as parenteral nutrition To remove excess electrolytes Correction of disorders of acid/base homeostasis, including inborn errors of metabolism, particularly metabolic acidosis Liver failure (but…