More top picks for you all….more coming next week! Enjoy.

JW

Big papers

5 days…is that too long??

URANGA – Take a look at this as ever fabulous bit of work from the crew at TBL. Looking at duration of Abx therapy in pneumonia. See here.

FICE & Echo

RAP measurement made easy!

Here is a fabulous and brief article on how to measure and estimate RAP. I like it because it doesn’t overcomplicate the topic!

Physics…not so boring now!

Have a look at this intro. to ultrasound physics, also placed into the FICE Echo area for you.

Twitter Pics

Cardiovascular

Pulmonary Oedema..how what’s it all about?

This article is fantastic, discussing cases and more about pulmonary oedema.

Remember those trials?!

A great little summary of the big coronary artery disease trials

Good old tropes!

Great article on Inotropes here.

Thrombolysis in PE

Great review on thrombosis in PE here.

The RV – misunderstood!

This article summarises best approach strategies in managing RV failure, including excellent advice on pressor / tropes too. See here.

Tap that Tamponade!

Please have a look at this amazing article on Tamponade! Loads of embeds to play and a great brief summary too! See here and also on our How-2 section of the site.

General Crit Care articles

Can you convert VBG to ABG?

We loved this one from the Pulmcrit lot on how to convert your VBG to correlate roughly with ABG here.

We need protocols to liberate from the ventilator!

An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: Liberation from Mechanical Ventilation in Critically Ill Adults. Rehabilitation Protocols, Ventilator Liberation Protocols, and Cuff Leak Tests

This paper seeks to promote the need to have a good strategy to get our patients off the ventilator with rationale. Rather than just a, ‘what you feel like at the time’, approach.

New Sepsis Guidelines

Source Control in Sepsis Urgent or Not So Fast?

Here is an interesting take on the mantra that is…get in there as quick as possible to improve outcomes in sepsis with known source. Do we wait a bit and medically treat, or do we take out the source at surgery? The authors also seem confused by the surprising results!

Other articles of interest!

Let’s inhale a bit of Special K!

Seems this versatile drug can be successfully inhaled now…for what exactly, I’m not sure yet? Wonder if you could reduce a shoulder in the ED with this approach…sniff this space!

How low can you go…desaturation period in the ED!

Incidence and Duration of Continuously Measured Oxygen Desaturation During Emergency Department Intubation

Interesting paper demonstrating length of time patients spend a tad hypoxic whilst having emergency airway interventions in the ED.

How to optimise your intubation conditions!!

Geared to the ED. Should be bread and butter for anaesthetists, but this is a fantastic article worth a look. See here.