Category: Resus & Crit Care

January 2020 round up podcast

The latest round up of the blog from Ian and Simon. Click on the links below to take you to each of the individual posts.

JC: D-K-hoorAy! New Paeds DKA guidelines

On Monday, the British Society for Paediatric Endocrinology and Diabetes published interim guidelines on the management of diabetic ketoacidosis (DKA) in our younger patients (under the age of 18). NICE are planning to fully review

2019 Novel Coronavirus (Wuhan) at St Emlyn’s

Thursday afternoon, I brazenly told my director that the coronavirus needn’t warrant immediate concern.  I didn’t want to add to the typical hysteria that leads to people purchasing too many medical supplies that then results

USS guided IVs

JC: Long lines for USS guided peripheral IVs. St Emlyn's

The placing of peripheral IVs is arguably the most common procedure that we do in the ED. However, although common, it’s not always easy and on those occasions when it’s difficult and needed quickly, it

JC: Critical Care Reviews day 2. #CCR20. St Emlyn's

In addition to the presentation of the VITAMINS trial and the PEPTIC trial we also saw a number of other papers presented. These are listed below, but have not been fully critically appraised. We’ll leave

The VITAMINS trial

JC: The Vitamins trial. Hydrocortisone, Vit C and Thiamine (Marik protocol – or not?) in sepsis. St Emlyn's

You may remember the controversy about Paul Marik’s suggestions that a combination of Vitamin C, steroids and Thiamine (sometimes known as HAT​1​) is a cure all for sepsis. There were some rather dramatic claims that

JC: The PEPTIC study PPI vs H2RBs on the ICU. St Emlyn's

The PEPTIC study is a randomised controlled trial of a Proton Pump Inhibitor (PPI) vs. Histamine-2 Receptor Blockers for ulcer prophylaxis on the ICU. Think Omeprazole vs. Ranitidine as your choice of prophylaxis. Although there

#CCR20

JC: Critical care reviews meeting day 1 #CCR20. St Emlyn's

In addition to the breaking trials at the #CCR meetings a number of other important trials were presented that you should seek out and review. We’ve not done full critical appraisals on these trials, that’s

JC: The 65 trial. Targeting MAP in sepsis. St Emlyn's at #CCR20

Editors note: This blog is based on the presentation of the 65 trial at the Critical Care Reviews conference in Belfast. We will add more data, and be able to add a more detailed critical

DFTB. The procedure paradox update. St Emlyn's

Updated content and video This is an update and repost of a blog from last Summer following the release of the video from the 2019 Don’t Forget the Bubbles (DFTB) conference in London. The original


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