Articles
Lactate as a Biomarker of Seizure: A Case Report
Lactate is a metabolic end product of anaerobic glycolysis and is produced by the reduction of pyruvate in a reaction catalyzed by LDH enzyme. Most common cause of lactic acidosis which we encounter i...
Chopart Dislocation in ER: A Case Report
The transverse tarsal joint is also called the midtarsal joint and is referred to as Chopart’s joint. The bones which go into the formation of this Chopart joint are the talus and calcaneus proximall...
Emergence of Carbapenem resistance : A retrospective study in a tertiary care centre in North East India.
Antimicrobial resistance (AMR)is “a global health security threat that requires action across government sectors and society as a whole” The World Health Organization (WHO)1. In the United States alon...
Stress Cardiomyopathy: In the perspective of critical care management
Stress cardiomyopathy is a condition in which intense emotional or physical stress can cause rapid and severe heart muscle weakness.1 It mimics myocardial infarction with changes in the electrocardiog...
The “4B Concept” : Critical Strategy in Critical Care Learning and Teaching
The ICU is a super dynamic environment. The learning part is very challenging here for novices. With lots of things going on simultaneously, it is sometimes difficult to focus on important things. Man...
Alcoholic ketoacidosis: A case report in Emergency Department
Alcoholic ketoacidosis (AKA) is a cause of severe metabolic acidosis usually occurring in malnourished patients with a history of recent alcoholic binge, often on a background of alcohol dependency. A...
Malaria with HLH: a case report
Hemophagocytic lymphohistiocytosis(HLH) is a life threatening and an aggressive condition of excessive immune activation.It was first described as “familial hemophagocytic lymphohistiocytosis”(FLH) i...
Safety and Efficacy of sedation with Butorphanol and Midazolam in Intensive care unit patients on Mechanical Ventilation
Introduction: This retrospective single centred observational study assessed the safety and efficacy of sedation with Butorphanol and midazolam in critically ill mechanically ventilated patients in an...
A rare case of acute Intermittent Porphyria in a patient with Median Arcuate Ligament Syndrome
Acute intermittent porphyria is an unusual presentation with median arcuate ligament, both of these two conditions may mimic each other in their symptomatology and may confuse physician to pinpoint th...