Blog

When to de-escalate antibiotics... not so straight forward

Todd Fraser on 04-07-2010

I recently had a 65 year old man with abdominal sepsis following an anastomotic breakdown post right hemicolectomy. After the diagnosis was made, he developed severe sepsis, requi...

Difficulty with organ donation

Todd Fraser on 24-06-2010

Categories: Case studies in ICU

A 23 year old man has suffered a severe brain injury and associated facial injuries in a motor vehicle accident. Clinically he shows no sign of brain function, and a nuclear medic...

Dosing renal replacement therapy

Todd Fraser on 20-06-2010

Categories: Controversies in ICU

The College of Intensive Care Medicine recently staged its annual Scientific Meeting. The theme for this year was Nephrology and among the many fascinating subjects covered, one o...

H1N1 - what have we learned?

Todd Fraser on 26-05-2010

Categories: Controversies in ICU

As the Southern Hemisphere influenza season rolls around again, it is appropriate to take stock of what we know and what we do not know about Pandemic 2009 H1N1 Influenza. Swine...

Credentialling for Procedures

Todd Fraser on 18-05-2010

Categories: Supervisors of Training

I often ruminate about this problem. A new registrar comes to the unit. He or she has "done a few" central lines before. The first time you work with them, they're on night shif...