Monthly Archives: January 2022

A useful article by Canadian Pat Croskerry, summarises some recent important, relevant and practical information that can help with diagnostic and other decisions. In our lives and work we repeatedly make quick judgments and decisions – that is not only a good thing but essential to ordinary and professional life. A lot of very good research over recent years has looked at the nature of this intuitive and near intuitive thinking – how it happens and how it can go…..

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A recent large US study* found that the vitamin thiamine was not given to 49 percent of Intensive Care patients who were at risk of thiamine malnutrition associated with Alcohol Use Disorder. This finding suggests disturbing and profound ignorance (despite published guidelines) in the treating teams’ understanding of the need to provide urgent thiamine supplementation when malnutrition is suspected. It could also suggest similar ignorance about the need to give thiamine to patients with malnutrition not associated with alcohol use…..

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