City Scape Clinic

04/04/2026

⚡️ DIABETES UPDATE: The "Big 4" for 2026 ⚡️
Managing diabetes is no longer just about "the needle and the number." The latest 2025-2026 guidelines (ADA & NICE) have officially shifted the game! 🚀
What’s New?
📉 Weight is Priority #1: Shedding weight is now a lead treatment goal to help hit remission and protect your heart.
📲 Tech for All: Continuous Glucose Monitors (CGMs) are now the gold standard for anyone on insulin to see real-time trends.
🛡️ Organ Protection: Newer meds (like GLP-1s) are being used earlier to shield your heart and kidneys, not just lower sugar.
🥗 Food as Fuel: The "diabetic diet" is out; flexible, Mediterranean-style eating and 150 mins of weekly movement are in!
The Bottom Line: It’s about Time in Range and long-term health, not just an A1c snapshot.
👉 Time for a med check? Ask your doctor if these new "organ-protecting" tools are right for you!

30/03/2026

30/03/2026

Pediatric weight estimation

30/03/2026

Summary notes of nervous system

30/03/2026

🚑 **Key Updates in Emergency Medicine (2025–2026)**

Emergency medicine is shifting toward **personalized, physiology-based care** instead of rigid protocols. Here are the most important updates every clinician should know:

🔴 **Resuscitation & Critical Care**

* Oxygen: Avoid overuse—target SpO₂, not routine high-flow oxygen
* Sepsis: Capillary refill time (CRT) now key in guiding resuscitation
* Intubation: Etomidate & ketamine remain first-line

🫁 **Pulmonary Embolism (2026 Updates)**

* New risk classification system
* Added “R” (Respiratory) factor for better decision-making

🚑 **Trauma Care**

* TXA works best within **90 minutes** of injury
* CT scans for minor head injury now **risk-based**, not automatic

🧠 **TBI (Head Injury)**

* More observation, less unnecessary imaging

👶 **Pediatrics**

* Updated infant CPR techniques
* Improved sepsis recognition and management

🤰 **Obstetric Emergencies**

* Preeclampsia can cause severe complications at **lower BP levels**

⚡ **Big Takeaway:**
Modern emergency care focuses on:
✔️ Early intervention
✔️ Individualized treatment
✔️ Smarter use of resources