Articles

Addisonian Crisis

Addisonian Crisis

An Addisonian crisis, also known as an adrenal crisis, is a severe and potentially life-threatening condition that arises due to acute adrenal insufficiency. It is a rare condition with an estimated prevalence of around 600 per million, but it does present to the...

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Cardiac Arrest in Pregnancy: Critical Considerations 

Cardiac Arrest in Pregnancy: Critical Considerations 

The management of cardiac arrest during pregnancy presents unique challenges that demand specialised knowledge and swift action. Maternal cardiac arrest is a rare but high-stakes scenario that requires a comprehensive understanding of resuscitation techniques tailored...

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Thyroid Storm

Thyroid Storm

Thyroid storm, also known as thyrotoxic crisis, is a rare but life-threatening condition characterised by an extreme exacerbation of thyrotoxicosis symptoms. It occurs in approximately 1-2% of patients with established hyperthyroidism. This medical emergency demands...

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Status Epilepticus in Children

Status Epilepticus in Children

Status epilepticus is the most common childhood medical neurological emergency. The Neurocritical Care Society guidelines define status epilepticus as: “A seizure with 5 minutes or more of continuous clinical and/or electrographic seizure or recurrent seizure activity...

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Antifreeze Poisoning

Antifreeze Poisoning

Antifreeze poisoning presents a significant challenge to medical professionals due to its potentially fatal consequences. What is antifreeze? Antifreeze is a liquid used in vehicle radiators to prevent freezing in cold weather. Ethylene glycol is the most common type...

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Hypersensitivity Reactions

Hypersensitivity Reactions

Hypersensitivity reactions are exaggerated or inappropriate immunologic responses occurring in response to an antigen or allergen. Gell and Coombs described four classes in 1963: Type I hypersensitivity reactions Type II hypersensitivity reactions Type III...

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Life Threatening Chest Injuries in Trauma – The Killer Six

Life Threatening Chest Injuries in Trauma – The Killer Six

Trauma remains a leading cause of mortality worldwide, with chest injuries representing a significant portion of these cases. Whether resulting from motor vehicle accidents, falls, or penetrating trauma, injuries to the chest can lead to immediate compromise of vital...

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What Killed George Washington?

What Killed George Washington?

George Washington is undoubtedly one of the world's most famous historical figures. He served as the Commander-in-Chief of the Continental Army during the American War of Independence, presided over the 1787 convention that drafted the United States Constitution, was...

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The Emergency Treatment of Anaphylaxis: A Quick Guide 

The Emergency Treatment of Anaphylaxis: A Quick Guide 

Anaphylaxis is a severe, life-threatening, generalised or systemic hypersensitivity reaction that is likely when both of the following criteria are met: Sudden onset and rapid progression of symptoms Life-threatening airway and/or breathing and/or circulation...

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Methaemoglobinaemia

Methaemoglobinaemia

Methaemoglobinaemia occurs when red blood cells contain methaemoglobin at levels higher than 1%. Methaemoglobinaemia results from the presence of iron in the ferric form instead of the usual ferrous form. The ferric form is unable to bind oxygen, and its presence...

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