Lab Case 75

A 10 year old girl presents to your ED with a 1 day history of generalised abdominal pain and nausea. On examination she looks unwell and has generalised abdominal tenderness and guarding.


BP 88/50

Temp  34.5

PR 120/min

Wt 68kg

Her blood results are as follows: Continue reading

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FOAM Eye-Catchers 10: Apnoeic Oxygenation – new trial questions value of NODESAT

A new RCT called the FELLOW trial examining the benefits of NODESAT (Nasal Oxygenation During Attempts at Larngoscopy) has been published online and Emcrit has just released a podcast interviewing the leader author. There is also a brief review of this paper at emlitofnote.

This is a RCT in a single medical ICU randomising patients to NODESAT or usual care. Surprisingly it found no benefit in the primary outcome – the lowest measured arterial oxygen saturation.

However there was some key aspects of this trial that seriously affect its generalisability to ED and operating room patients: Continue reading

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