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 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

Secretion management & PARAMEDIC2

This month’s questions: Excessive respiratory secretions are a common reason for prolonged ventilator weaning and failed extubation. (1) What treatments or interventions are most effective in controlling/reducing excessive respiratory secretions? (2) When it is safe to consider extubation / decannulation in a patient with excessive respiratory secretions i.e. are there any useful measurements / scoring … More Secretion management & PARAMEDIC2

Next Sira Debate

Before we discuss this month’s questions and papers I would ask everyone to consider what components of critical care create an outstanding ICU? The context is that Portsmouth ICU (Queen Alexandra Hospital) has recently been awarded Outstanding in all CQC domains, which I believe is unprecedented. One of the cornerstones of this model is the impressive standardisation through SOPs and guidelines of … More Next Sira Debate

POCUS & FICE governance/peripheral norad

This month’s questions concern POCUS and FICE: Are we recording, quality assuring and governing these procedures correctly or have we just enthusiastically jumped on a bandwagon?  Is there a danger that they are becoming a distraction rather than useful, especially in Resus? This month’s papers, in defence of FICE perhaps This months second paper; … More POCUS & FICE governance/peripheral norad