Paul MacConachie Middleton

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Questions related from Paul MacConachie Middleton

Do emergency physicians think differently to other physicians / surgeons etc?

Emergency medicine requires thought processes that incorporate risk stratification, assessment of urgency and need for immediate treatment or resuscitation, and often leads to treatment before...

17 May 2013 1,237 30 View

Should diuretics be routinely used in acute left sided heart failure, on the basis that patients are always "fluid overloaded"?

In congestive heart failure secondary to systolic dysfunction, a depressed, flattened Frank-Starling curve allows diuretic therapy to safely reduce preload by decreasing intravascular volume, as...

29 March 2013 8,321 13 View

Do you use ultrasound estimation of volume status when assessing and resuscitating critically ill patients?

There is now substantial literature on the assessment of volume status by evaluation of techniques such as IVC filling and diameter, as well as variation with respiration. We constantly make...

28 November 2012 7,687 27 View