Monthly email clinical topic discussions. Respondents are a mixture of consultants, trainees and ANP’s.
Feel free to suggest a topic for debate.
All responses are personal opinions only.
After a period of soul searching and introspection drinking green tea with Tibetan monks and burning incense we have decided due to popular demand to resurrect the email forum. Slightly different format as you will see below, but the principle remains; one main question for discussion to over 100 people interested in critical care, in a friendly and non-threatening environment. Please reply all if you have any answers, comments or questions for the group………..
This month’s question concerns fluid administration in patients with septic shock. Are the surviving sepsis guidelines suggestion of an initial “rapid bolus of 30ml/kg crystalloid” in those patients with hypotension and lactate>4mmol/L more harmful than useful?
This month’s paper is a fantastic article from Tom Woodcock of the fluid physiology website https://fluidphysiology.org, who examines how what we now believe to be true about the endothelial glycocalyx alters our understanding of fluid physiology in the attached BJA Education article.
This month’s journal club run by Rob Tuffin, looks at an intriguing RCT published in JAMA comparing the effects of conservative vs conventional oxygen therapy on mortality in the critical care population. If you would like to contribute to this journal club please feel free to comment on the Yorkshire ICM website https://yorkshireicm.wordpress.com/journal-club/ , or email Rob Tuffin your thoughts…