Articles
Acute Limb Ischaemia
Acute limb ischaemia is defined as a sudden decrease in limb perfusion that threatens the viability of the limb. It is most commonly caused by acute thrombotic occlusion of a previously partially occluded, thrombosed arterial segment or secondary to an embolus from a...
Understanding the CURB-65 Score
The CURB-65 score, also known as the CURB-65 criteria, is a validated clinical prediction tool used to assess the severity of pneumonia and predict mortality risk in patients with community-acquired pneumonia (CAP). This score is an acronym for Confusion, Urea,...
Germ Warfare and the Siege of Fort Pitt
Germ warfare is defined as "the use of biological toxins or infectious agents with the intent to kill or incapacitate as an act of war." These biological agents are quite literally used as deadly living weapons. Germ warfare is by no means a modern concept, and...
Cytochrome p450 Enzymes and Drug Metabolism
Many drugs are metabolised in the liver. Drugs are either metabolised by phase I reactions (oxidation, reduction, or hydrolysis) or phase II reactions (e.g. glucuronidation). Phase I reactions are mainly carried out by the cytochrome P450 family of isoenzymes, of...
Building a Career in Global Health and Expedition Medicine
Building a career in global health and expedition medicine - the good, the bad, and the stuff no one tells you! Can I be a neurosurgeon and travel the world with my work? I’d like to do paediatrics but with some humanitarian work- is that possible? Will I still be...
Pertussis
Pertussis, also known as whooping cough, is an upper respiratory tract infection caused by the Gram-negative bacteria Bordatella pertussis. Transmission is via respiratory droplets and the incubation period is approximately 7-21 days. The disease is highly contagious...
Nosocomial Infections
Nosocomial infections are defined as those occurring within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation. They affect 1 in 10 patients admitted to hospital. Annually, this results in 5000 deaths with a cost to the National Health...
Understanding Homeostasis
Homeostasis is the property of a system in which variables are regulated so that internal conditions remain stable and relatively constant. Examples of homeostasis include the regulation of temperature and pH balance. The two body systems that are responsible for...
HELLP Syndrome
HELLP syndrome is a pregnancy complication that usually presents in women who have pre-eclampsia or eclampsia. Affected women also show signs of liver damage and abnormalities in blood clotting. HELLP syndrome is characterised by: Haemolysis ELevated liver enzymes Low...
What is Evidence-based Medicine?
Evidence-based medicine is the term used to describe the process of systematically reviewing, appraising and using the findings of clinical research to assist with the delivery of optimum clinical care to patients. The most commonly quoted definition of evidence-based...