Norepinephrine has numerous effects in sepsis including veno-constriction (increasing preload), arterial constriction (increasing systemic vascular resistance), positive inotropy, improved cardiac output, and improved renal perfusion.…Explore more Early vs Delayed Norepinephrine Use in Septic Shock
What is asystole? Asystole is a state of no cardiac electrical activity. It is seen as a “flat-line” in ECG monitor. However, other possible causes…Explore more Why to not defibrillate Asystole ?
Endpoints of resuscitation MAP: > or = 65 mmHg Urine output: > 0.5 ml/kg/hr; despite ↓RBF (Renal Blood Flow) it can be normal due to…Explore more Septic Shock Fluid Resuscitation
International Surviving Sepsis Campaign has recommended Early Goal Directed Therapy for the management of severe sepsis and septic shock. Recently, three large multicenter studies –…Explore more Is there no role of Early Goal Directed Therapy (EGDT) in Sepsis and Septic shock?
The Sepsis-2 definition used SIRS criteria and the term “Severe sepsis” which has been recently eliminated by the Sepsis-3. The new sepsis definitions recommend using…Explore more Understanding New Definition of Sepsis (Sepsis-3)
History 23yrs/F non-diabetic, non-hypertensive, non-smoker, non-alcoholic primigravida was admitted to Obstetric ward on with the chief complaints of: Cessation of menstruation X 9 months Decreased…Explore more Postpartum Eclampsia : Case Discussion
Cases of Acute Pancreatitis Case 1 32 years old male came to emergency department with complaint of: Upper abdominal pain X 3 days Vomiting X…Explore more Acute Pancreatitis – Case Discussion
Acute or sudden vision loss is due to one of the following causes: Opacification of normally transparent structures anterior to retina Retinal abnormalities Abnormalities of…Explore more Sudden Vision Loss : Simplified Approach