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Coda Change

Jan 26, 2017

Marietjie (MJ) Slabbert describes the unseen enemy, fatigue in critical care medicine.

MJ does 24 hour shifts every other day with just three to four hours of sleep.

Though many would claim that this is more than enough, MJ thinks otherwise.

Physicians are killing themselves while trying to save others because fatigue...

Jan 25, 2017

James Tooley discusses the sheer terror that comes with the challenge of managing children in the pre-hospital environment.

As James explains, although many clinicians may think that they do not need to (or may not want to) think about the paediatric population, it is something that every clinician would do well...

Jan 23, 2017

Flavia Machado and Paul Young present the top 10 ICU trials of the recent past SMACC style. Their list of trials includes a number that challenge dogma and establish interesting new lines of scientific enquiry. In addition, they also include all the recent clinical trials that should change your practice. If you want...

Jan 22, 2017

Anand Swaminathan and Iain Beardsell debate the use of thrombolytics in the treatment of submassive pulmonary embolism (PE).

PE is a spectrum of disease. Patients should be treated differently depending on where they are on the spectrum.

Subsegmental PE may need no treatment at all, whereas massive PE is unlikely to...

Jan 20, 2017

Ryan Wubben discusses the standards in Helicopter HEMS.

He asks the question, what standards?

The development of Helicopter EMS (HEMS, or as the Federal Aviation Administration recently coined it: “Helicopter Air Ambulance” or “HAA”) services in the United States has taken a different path in recent years...