The Top Ten pages from LITFL’s Critical Care Compendium in 2015. Hot topics, core knowledge, hard to remember, quirks of SEO or something else?
A fascinating talk by Jack Iwashyna (@iwashyna) on the ‘heterogeneity of treatment’ effect, what this means for the conduct of randomised control trials and how we should interpret them.
The latest update of major additions and revisions to the Critical Care Compendium. Topics featured include: driving pressure, PEA, sepsis definitions, sepsis biomarkers, procalcitonin, as well as open chest and delayed sternal closure.
Suman Biswas with an ’emergency musical interlude’ on the NHS junior doctor contract crisis, ‘Half the world away’.
“What is the Critically Ill Airway course?” you ask. Read this and wonder no more… Multiple skill stations and 12 immersive simulations for critical care practitioners (regardless of specialty) who need to bring airway expertise to the sickest patients.
“Why don’t we wash our hands?” is a SMACCtalk that explores why hand hygiene targets remains such a challenge for healthcare workers.
Rob Rogers and the team are bringing The Teaching Course Down Under in 2016 — right to my doorstep, here in Melbourne. As a past graduate of this course, I’m looking forward to taking part as faculty and being part of a great team of clinician-educators including the likes of Rob, Salim Rezaie, Victoria Brazil and […]
Question Critically evaluate the role of monitoring blood lactate levels in the critically ill. Answer Show answer Introduction: Lactate measurement is easy, widely available and accurate. High blood lactate levels may represent increased production from tissues and/or decreased metabolic clearance. Uses End-point of resuscitation – lactate clearance. Diagnosis of inadequate tissue oxygenation / ischaemia. Risk […]
Question A 76-year-old female is admitted to the ICU following elective aortic and mitral valve replacement. Trans- oesophageal echo assessment at the end of surgery showed an ejection fraction of 20%. Her preoperative creatinine was 340 μmol/L. Total bypass time was 240 minutes. On arrival in Intensive Care Unit the patient has the following indices: […]
Question Critically evaluate the role of corticosteroids in the management of severe community-acquired pneumonia. Answer Answer and interpretation Rationale / Indications Conventional & generally accepted indications include: Pneumonia complicating exacerbated COPD PJP infection with lung infiltrates (data from HIV population, and by extrapolation to other immunosuppressed groups) Patients who are on long term corticosteroids or […]
Question With regards to high-voltage electrical injuries: a) List the factors determining the severity of electrical burn injuries. (30% Marks) b) List the potential causes of poor lung compliance in a patient who is receiving invasive mechanical ventilation post high-voltage electrical injury. (40% Marks) c) A patient who has suffered a high-voltage electrical injury is […]
Question You are assessing a patient on the first post-operative day following an aortic valve replacement. There are atrial and ventricular epicardial wires in place and the patient is being paced at 90/min in a DDD mode. a) Define sensitivity with respect to cardiac pacing. (20% marks) b) Describe the steps that you would perform […]