Neuro Resus

Thrombocytopenia is frequently encountered in the ICU. It is important to have an understanding of the common and important causes of TP as well as to have a simple framework to approach this problem. A simple approach is to identify if TP is expected or unexpected and work through the management that way. Platelet transfusions or repeating the FBC is not always the right approach. Heparin induced thrombocytopenia is frequently considered as the cause of TP. This leads to excessive HITS screen being ordered and risks false positive results.

The management of submassive PE (intermediate risk PE) has been an area of controversy for years. With early evidence demonstrating potential benefit of thrombolysis in both short and long term outcomes. The flipside is the demonstrated increased risk of haemorrhage. Despite this more recent trials have emerged to somewhat quell the thrombo-enthusiasts however it is likely that we still don't have all the answers?

How I manage delirium by Dr Nudrat Rashid

How I manage Traumatic Brain Injury by Associate Professor Ian Seppelt

Whirl wind tour through DCD

Running CRRT in the ICU presents challenges. To ensure optimum dose of dialysis there are several tricks that can be employed to ensure the dialysis machine runs smoothly. Citrate anticoagulation, pre-dilution, reducing the blood flow and providing a reliable vascath are key to achieving good flow through the dialysis machine.

Obstetric emergencies

Paediatrics for the general intensivist

How I assess nutritional requirements and prescribe TPN

Developing your non-clinical portfolio panel discussion