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CPR decision tree

It’s ethically, morally and legally OK to not do CPR (sometimes.)

April 29, 2013by expensivecare 5 Comments

Intensivists and trainee intensivists of the world, brace yourselves.  You’re about to re-live a  telephone conversation that you have nightly and that makes your blood boil every time…. Ring, Ring… […]

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End of Life
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What is Palliative Care?

April 20, 2013by expensivecare 1 Comment

Leo Cullum, The New Yorker. I’m currently taking some time out of the hustle-bustle of the busy ICU to undertake a bit of an elective period in palliative medicine.  So […]

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End of Life, FOAMed
http://www.stirlingfildes.com.au/index.php?page=shop.product_details&flypage=flypage-ask.tpl&product_id=421&category_id=39&option=com_virtuemart&Itemid=186&vmcchk=1

Push dose vasopressor poll

April 7, 2013by expensivecare Leave a comment

After some recent heated discussions, I thought I’d ask you – the small slice of the critical care community who have a bit of interest in what I have to […]

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Uncategorized
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Induction agent poll – Results

April 6, 2013by expensivecare Leave a comment

A while back I asked you what drugs you use to induce anaesthesia in critically ill patients. Here are the results. You can see that about 1/4 of you are […]

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Facing Death

April 6, 2013by expensivecare Leave a comment

While I prepare my next post after a long absence, here’s a documentary from PBS that should be compulsory viewing for any clinician involved in critical care.  It examines the interface […]

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End of Life
LT071-got-milk-funn-shirt

Is propofol really that bad?

January 20, 2013by expensivecare Leave a comment

I recently had a Facebook conversation with a colleague of mine, emergency medicine registrar Matthew Oliver about post intubation sedation with propofol and I thought it was was worth sharing […]

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Crisis. Check.

January 17, 2013by expensivecare 1 Comment

I’m a big fan of checklists, and I think they’re seriously under-utilised in medicine.  Anyone who’s had anything to do with aviation knows that pilots rely on checklists to ensure […]

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Uncategorized
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Nurse! Fetch the Nikethamide and the Lobeline!

January 3, 2013by expensivecare 3 Comments

I’ve just had a most enjoyable day wasting a lot of time while watching some pretty amazing videos on youtube.  I’m a big fan of medical history, particularly the history […]

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Inspiration, Procrastination
King-Size_Homer_(Promo_Picture)_2

A Fridge too Far?

December 31, 2012by expensivecare 1 Comment

How apt that this morning I watched one of my favourite episodes of “The Simpsons,” “King-Size Homer” from series 7, in which Homer gains 60 Lbs in order to reach […]

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Uncategorized
large-double

Own the Bronchial Blocker, Rent the Double Lumen Tube

December 26, 2012by expensivecare 3 Comments

From archbronconeumol.org You are the ICU registrar in a small teaching hospital.  Its 0300 and you get a panicked call from ED.  The nurse on the end of the phone […]

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  • What is Palliative Care?
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Critical Care

  • Academic Life in emergency medicine
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