There is a lot to look at here, but these are the main points to take home and to follow. A fair amount of expert work went into these recommendations from some of the biggest names in the field.The original document can be found below. 2017-surviving-sepsis-recommendations A. INITIAL RESUSCITATION 1. Sepsis and septic shock are... Continue Reading →
We are going to try to produce regular sections on the best of FOAMed. Here's the first! Sit down with a coffee and enjoy....more to come! Great Papers Fits or frozen?! The Bottom Line Crew (Adrian Wong), debate the HYBERNATUS Study looking at whether we should cool status patients to improve outcome. Thanks again team see... Continue Reading →
Take a look at our Top Papers section to see some of the best evidence out there, as adjudged by us and also from deep perusal of Critical Care Reviews site. Thanks to them!! We will try to keep this as up to date as possible...missing papers you think should be included...let us know?!
There's a lot here, so bare with us. Each is colour coded for ease of sifting and we offer our take on each abstract too. A lot of hard work was presented within many different fields. Thanks to Critical Care for this! Colour key: Green = Observational logistics studies Red = Genetic studies Purple =... Continue Reading →
A study carried out in an academic county hospital in the US examined the associations between volume overload on ICU discharge, mobility limitation and discharge to a healthcare facility amongst survivors of septic shock. Septic shock is commonplace in critical care and indeed, its incidence is on the increase. With this however, we are seeing... Continue Reading →
Click here to read more, courtesy of critical care. Basically We know that hypothermia leads to poor outcomes, perhaps not in cardiac arrest situations where neuroprotection is the key, granted and perhaps a few other exceptional circumstances. There is evidence that it leads to worse outcome in sepsis which is interesting. There have been many... Continue Reading →
This trial is worth a read. Courtesy of critical care (Click Icon) Basically They wanted to see whether sepsis-associated ARDS patients had better outcomes when given Hydrocortisone therapy. Methods They randomised patients to receive either hydrocortisone 50 mg every 6 h or placebo. What they demonstrated The patients who got hydrocortisone had significant improvement P:F ratios and... Continue Reading →
2 brilliant videos added. 2 on lactate to accompany our article placed today. There will be many others to follow soon. Watch this space!
So we all hang on this as a prognosticator, as well as a gauge of the state of our patients both on the unit and prior to coming up to us. But should we be focussing on Lactate as much as we think we should? Is it the 'magic bullet' to adequate resuscitation? A bit... Continue Reading →
Intro... There has been a lot of discussion regarding the LEOPARDS trial on FOAMed recently. Particularly after the ESICM meeting in Milan. The drug Levosimendan was thought to be of some hope in the treatment of sepsis...to better current Vaso/Inotherapy we currently use (starving coronary blood flow, pushing the heart too hard and causing horrendous... Continue Reading →
Intro I am always asked by vigilant ITU trainees of all grades, 'should we give some albumin here; what do you think?'. In answer, my response is normally...no, it has no mortality benefit at all. But am I being harsh? Physiology for dummies! So albumin: Maintains the oncotic pressure (+ plasma volume) in blood vessels... Continue Reading →
This is an excellent animation from the CEC and can be found within the right menu bar under LINKS WORTH CLICKING ON. Underlies the work Ron Daniels and his team are doing in the UK. Click here as well to see it..... More to come.....
