Thomas Linacre and the Royal College of Physicians

Thomas Linacre and the Royal College of Physicians

The Royal College of Physicians is a U.K. based, internationally recognised, professional body that is dedicated to the improvement of medical practice and patient care. It is also the oldest royal medical college in the world. In 2006 I became a member of the Royal...
Sympathomimetic Drugs

Sympathomimetic Drugs

Sympathomimetic drugs are stimulant compounds that mimic the effects of endogenous agonists of the sympathetic nervous system. These drugs are used in a variety of situations, including cardiac arrest, haemorrhage, sepsis and myocardial insufficiency.   Mechanism...
Hypothermia

Hypothermia

Hypothermia exists when the core body temperature is below 35°C and is classified arbitrarily as mild (32-35°C), moderate (28-32°C), or severe (<28°C). The Swiss staging system, based on clinical signs, can be used by rescuers at the scene to describe victims: I –...
Heat Stroke

Heat Stroke

Heat stroke is defined as a systemic inflammatory response with a core temperature that is greater than 40.6°C accompanied by a change in mental state and varying levels of organ dysfunction. There are two forms of heat stroke: Classic non-exertional heat stroke –...
The Story of the Tendon Hammer

The Story of the Tendon Hammer

The tendon hammer is one of the most historically resilient medical instruments still in use today. It is a simple yet invaluable device that can be used to diagnose a wide variety of nervous system and muscular disorders. Almost 130 years after the invention of the...
Compartments and Fluid Spaces in Health

Compartments and Fluid Spaces in Health

The amount of water in the body varies with a patient’s age, weight, and sex. Total body water (TBW) accounts for around 60% of an adult male’s total body weight; a normally hydrated 75 kg man will consist of approximately 45 L of water. There are two major fluid...