Supporting hemodynamics: what should we target? What treatments should we use?

Supporting hemodynamics: what should we target? What treatments should we use?

Assessment and monitoring of hemodynamics is a cornerstone in critically ill patients as hemodynamic alteration may become life-threatening in a few minutes. Defining normal values in critically ill patients is not easy, because 'normality' is usually referred to healthy subjects at rest. Defining 'adequate' hemodynamics is easier, which embeds whatever pressure and flow set is sufficient to ma...

Erythema nodosum :what should we consider about it?

what should we know in bipps

cushing’s syndrome is a rare endocrine disease characterized by hypercortisolemia caused by excess acth secreted by the pituitary. distinguishing pituitary sources from the ectopic sources of acth is challenging because of the limited accuracy of noninvasive assays. the test that offers the highest sensitivity and specificity is bilateral inferior petrosal sinus sampling (bipss). in patients wi...

What model of English should we use?

The model to be used depends on what our students want to use and what we are able to provide as teachers. Most AMEP clients are aiming to settle in Australia, and many AMEP teachers speak some variety of Australian English, and so this is a reasonable model for the AMEP. But familiarity with other accents – so-called native (eg New Zealand, British) and non-native (eg Chinese, German) – is als...

Mental Health What Do We Know? What Should We Do?