Hi all This month’s paper focuses on the mechanics of ventilation and suggests another way of protecting the lung…. You can find it here http://www.nejm.org/doi/full/10.1056/NEJMsa1410639 “Hi All Ok I’m going to get in there early with my thoughts before people who actually know what they are talking about start replying. The idea that ΔP is … More September 2017 Journal Club
1. What are the indications for a head CT (or other imaging) and an EEG in our patients who have had an OOHCA of a suspected cardiac cause? 2. In patients undergoing treatment for rhabdomyolysis is there a role for alkalinisation of the urine and/or mannitol? A – I’ll attempt question 2, based on a recent case … More CTB in OOHCA and rhabdo management
Hi All For this month’s paper I thought we’d look at one of critical care’s Cinderella topics namely nutrition. Have a look at this paper: https://www.ncbi.nlm.nih.gov/pubmed/19777207 To quote Morrissey/Marr the question is “How soon is now….”? “Hi Rob and others Based on this meta analysis there does seem to be a paucity of evidence in … More July 2017 Journal Club
In patients with a variety of acute neurosurgical ‘injuries’ the absence of pupillary responses, and failure of mannitol (or similar agent) to alter this, is often used as evidence for futility and subsequent refusal of surgical intervention (+/- transfer, if from a DGH). Is this a reasonable? A – A neurological “injury” worth mentioning, although not a neurosurgical one, is … More Neurosurgery – decision to operate
Thursday 12th October – Careers day. Poster: ICS Career Day 4th September – Stress & Burnout. Poster: ICS Wellbeing and Burnout Seminar
Next MY FICE course November. Please see flyer here. Local faculty, very good feedback from last year and a great way to get your first supervised cases done.
Hi Everyone I know I don’t usually send out review articles in journal club but please indulge me this month as it’s a bit of a pet subject for me…… Have a read of this wonderful article (by 2 very big names in the global ICU community) here http://www.oapublishinglondon.com/abstract/431 It is deliberately provocative (and I … More June 2017 Journal Club