You’ve just been handed over a patient who has an altered mental status when the phone rings. It’s the lab – you’re told that your patient has a serum ammonia level of 250 umol/L (reference range, 11-35 umol/L). WTF?
The sun is making more frequent cameos in our part of the world, suggesting summer may be on its way. Another, but less obvious, indicator of the change in seasons is the gradual decline in patients with swine flu (H1N1 09 influenza) needing treatment in our intensive care units. The last ‘Life in the Fast […]
Today the Medical Journal of Australia published a case report authored by myself and Mark Little titled ‘Early use of high-dose insulin euglycaemic therapy for verapamil toxicity’: A 49-year-old man presented with verapamil toxicity complicated by hypotension and a junctional rhythm, in the context of deliberate self-poisoning with multiple drugs. The patient’s hypotension normalised following […]
Times Online have just published a brilliantly written and seriously hardcore article by the late Steven Wells, a UK rock journalist who recently died from lymphoma. Steven kept a diary of his time battling cancer in the United States – the article starts like this: “I’m writing these notes in the ER blitzed off my […]
Peter Safar Laws for Navigation of Life. Bureaucracy is a challenge to be conquered with a righteous attitude, a tolerance for stupidity, and a bulldozer when necessary.