Blood ‘n Guts: hold the blood, save the patient?


One of the trends of recent trauma literature has been the use of “minimal volume” or “permissive hypotension” strategies in the face of bleeding. Now there is a new study from the New England Journal that compared 2 transfusion strategies in acute upper GI bleeding. And guess what?  It looks like less is more in […]


Paracentesis: are you stabbing in the dark?

Had a few problematic ascitic taps recently in our place – so I thought I would have a look at the evidence around paracentesis, what is new and what works.  There are a few medical “rules” out there for this procedure, but are they supported by the data? Click to see my review of each of […]