Stroke; the best reviews

This is the first of what I hope to be regular summaries of the best of free open access resources on a specific topic. From the basics to the latest research here is a run-down of some of the finest summaries. Up first a common but surprisingly contentious presentation; acute treatment of Cerebral Vascular Accidents….

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Too much of a good thing? Oxygen and asthma

A summary of a Randomised controlled trial comparing high concentration oxygen to titrated oxygen in acute severe asthma. What was the point?  There is an increasing body of evidence that high levels of oxygen may be harmful administered for a prolonged period in several circumstances including stroke, MI and Emergency surgery. Studies are being undertaken in…

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Being a junior doctor

Our Profession in today’s NHS This is a essay a wrote for doctors for the NHS, who had a competition for junior doctors about what our profession means in the modern NHS.    In our shared office space, where a reprieve from the organised chaos of an 21st century NHS Emergency department can be found,…

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FEAST; a review

FEAST: fluid expansion as supportive therapy   What was the point? Sepsis is a common presentation in children, more so in poorer countries. Initial resus fluid boluses are standard in the treatment of this condition in richer countries but (according to introduction) less common in poorer countries. There is no definitive answer on the amount…

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