Status epilepticus

1. What are the essential investigations for a patient presenting with refractory status epilepticus? 2. Once traditional treatments (propofol, benzodiazepine infusion, and barbiturates) have been exhausted what should be our next line therapies? 2. Where should these patient’s be managed and what is the minimum monitoring standard?   This month’s paper is a fantastic article from the NEJM from this year, … More Status epilepticus

October 2018 Journal Club

Hi Everyone Have a look at this month’s paper here https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.lww.com%2Fshockjournal%2Ffulltext%2F2013%2F12000%2FRadial_to_Femoral_Arterial_Blood_Pressure.13.aspx%23R11-13&data=02%7C01%7C%7C7229646d25464736f0f008d638eb2985%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636758979987318298&sdata=N5oE9oVKkCGZIMh8cG%2Ba0l2oEqCISF1q5ChccLYBfPc%3D&reserved=0 It’s food for thought….. Cheers Rob “Hi everyone Hope you all enjoyed the paper! I appreciate that this isn’t a very “academic” topic but it’s something that has always interested me, namely how reliable / robust are the numbers that we aspire to normalise? … More October 2018 Journal Club

QOTM – BP management in sepsis

This month’s questions: 1. In patients on escalating doses of vasopressors (and/or inotropes) should we routinely be inserting a femoral arterial line to correlate with radial arterial pressures, and if so and they differ which pressure do we target? Is anyone doing this already 2. Is there ever any benefit in using inotropes as part of the management of septic shock? Do they do more harm … More QOTM – BP management in sepsis

Next Sira debate

This is a bit of a bumper month but it seemed sensible to cohort these similar topics than split them over the next two months. This month’s questions: 1. In patients on escalating doses of vasopressors (and/or inotropes) should we routinely be inserting a femoral arterial line to correlate with radial arterial pressures, and if so and they differ which pressure … More Next Sira debate

September 2018 Journal Club

Hi Everyone Welcome to September’s Journal club, this month we’re going to be looking at that old chestnut Albumin….. Have a read of the paper here https://www.nejm.org/doi/full/10.1056/NEJMoa1305727 Cheers Rob “Hi All Interesting that the post hoc analysis of patients with septic shock at time of enrolment, did find a statistically significant difference in 90 day … More September 2018 Journal Club