Acute Heart Failure and Cardiogenic Shock

There’s minimal or no role for the administration of loop diuretics (Furosemide/Lasix) early in the management of Acute Pulmonary Edema. The majority of patients aren’t volume overloaded. Immediate care should focus on Non-Invasive Positive Pressure Ventilation and administration of nitroglycerin. In patients with End Stage Renal Disease, dialysis is what’s ultimately going to fix the […]

Trauma Resuscitation Commandments

The most important step in managing a bleeding trauma patient is surgical source control – most patients with massive hemorrhage need an operation to stay the hemorrhage. The state in which a patient arrives to the operating room or the intensive care unit – alive or near death, cold and coagulopathic or warm and well […]

Mortality after Fluid Bolus in African Children with Severe Infection

Mortality after Fluid Bolus in African Children with Severe Infection Kathryn Maitland, M.B., B.S., Ph.D., Sarah Kiguli, M.B., Ch.B., M.Med., Robert O. Opoka, M.B., Ch.B., M.Med., Charles Engoru, M.B., Ch.B., M.Med., Peter Olupot-Olupot, M.B., Ch.B., Samuel O. Akech, M.B., Ch.B., Richard Nyeko, M.B., Ch.B., M.Med., George Mtove, M.D., Hugh Reyburn, M.B., B.S., Trudie Lang, Ph.D., […]

Emergency Medicine Kenya Foundation