John White, James Paton, Robert Niven, Hilary Pinnock On behalf of the British Thoracic Society The British Thoracic Society first produced a guideline on asthma and its management in 1990. The first collaborative guideline with the Scottish Intercollegiate Guideline Network (SIGN) using evidence-based medicine methodology was published in 2003 (1). It has since become a […]
What’s Pneumonia Anyway?
This afternoon a patient on the ward asked me “So do I have pneumonia then?”. Not a straightforward answer. She has a productive cough, crackles in her left base, a WCC of 24, CRP of 140, and presented with a lactate of 3.4, and a bicarbonate of 14. And a normal CXR. SIRS? Yes. Sepsis? […]