Dengue: The New WHO 2010 Severity Classification

WHO, in its recent dengue guidelines 2009, has alluded to the fact that its existing classification into dengue fever and dengue hemorrhagic fever (further divided into 4 grades) have a number of limitations due to the rigidity of its criteria.  Download also the Malaysian guidelines on dengue management.

For example,  in a number of cases, patients can present with dengue and shock but without

The 2009 COPD Malaysian Guidelines - What's Important From Emergency Medicine Perspective?

The new 2009 Malaysian CPG on Chronic Obstructive Pulmonary Disease is out.Download the guideline here at the Malaysian Thoracic Society Website here or here at the Academy of Medicine Malaysia website (scroll to the Respiratory Medicine section).I have also given a talk on COPD last week.Here's my five points summary of the importance of this guideline from Emergency Medicine perspective:COPD

Pediatric Protocols For Malaysian Hospitals FREE download in MPA website

The Pediatric Protocols for Malaysian Hospitals is available for FREE download at the Malaysian Pediatric Association Website. I am awaiting to purchase a printed copy because eventually I find reading from a laptop screen is very tiring and straining the eyes.Anyway, you may click here to download the protocol in pdf. Click here to access the website of Malaysian Pediatric Association.

Q&A based on Malaysian MOH CPG Management of Acute STEMI

I have compiled a series of Q&A notes based on the latest CPG on STEMI. If there is any mistake, please email me at cksheng74@yahoo.com. Cheers,K.S. ChewManagement of Acute Myocardial InfarctionIn some cases of early MI, the ECG can be normal or equivocal. In such cases, serial ECG is advocated. What is the time interval recommended for the repeat ECG? Which cardiac biomarkers are