Ethical CPR Decisions

We spend a lot of time thinking about saving lives, and becoming expert at interventions to maximise survival.  But sometimes we need to take a step back and consider why we are doing this… what are the outcomes we would like to achieve for this patient? For this family?  It may be appropriate to set some boundaries of care.  So how do we go about having this discussion with patients and...

June 9th, 2014 by colinparker 

Fluid Controversies

A recent paper about fluid boluses in sick African children has raised a few eyebrows around the world of pediatric emergency medicine, and the world of medicine in general… We thought we’d get in on the discussion, before everyone goes throwing the baby out with the bathwater.  In this PEMcast we try to appraise the Maitland paper in a rational, unemotional way… and almost manage! ...

August 11th, 2011 by colinparker