Paul Young’s SMACC talk on ‘Fever, friend or Foe?’ got some of the most positive feedback ever seen on a speaker’s report card. This is his post on the subject of fever in the critically ill, along with the audio and the slides from SMACC.
A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?
What is the explanation for the discrepancy between the oxygen saturations on pulse oximetry and on arterial blood gas analysis in this patient?
A patient with chronic myeloid leukaemia and recent treatment with chemotherapy presents will markedly deranged laboratory tests. Can you figure out whats going on?
An ICU patient has become increasingly ‘puffed’ post-tracheostomy. Can you figure out why? What are your going to do about it?
A 32 year-old woman is referred to the ICU post caesarean section. She had an uneventful elective caesarian section 10 hours previously. She has been referred because in the last 2 hours she has developed vaginal bleeding and oozing from her epidural site.
In response to concern (baseless) that the recent uncovering of the Society for the Prevention of Surgery was in some way meant to discredit the invaluable work of our Anaesthetic colleagues, Professor Staghorn and the Board of UCEM have undertaken and exhaustive search of the literature
An elderly man with a nasty looking chest x-ray is treated with penicillin. Should the antibiotic be changed in light of his sputum MCS?
All Whites: undefeated in the World Cup since 1982.
Acute hepatitis with jaundice and coagulopathy without hepatic encephalopathy is referred to as severe acute hepatitis. Fulminant hepatic failure is defined as the appearance of hepatic encephalopathy in a patient with acute deterioration of liver function with no previous history of liver disease.