Tag: CC20

JC: AVP in Haemorrhagic Shock. St Emlyn’s

Blood product transfusion can be lifesaving for patients who have suffered major trauma, but the associated side-effects and risks, mean that most people would agree that less is more. This paper by Sim et al

JC: Conservative management of pneumothoraces.

When I trained here in Virchester we had a fairly aggressive approach to the management of pneumothoraces. All trauma pneumothoraces got chest drains, a chest drain meant an open one, the size was as big

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

JC: IN Fentanyl vs Ketamine for analgesia in PED. St Emlyn’s

Last year we reviewed a pilot RCT comparing IN Fentanyl vs IN Ketamine in kids​1,2​. We concluded that they were probably similar in analgesic effect but that Ketamine had a higher adverse event rate. Here

Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s

No one likes getting a pulmonary embolism. Or a deep vein thrombosis. And because about 60% of all blood clots are associated with hospitalisation for acute illness​1​, we take the idea of prophylaxis very seriously.

JC: Enter Sandman – Which Agent as Second Line in Paediatric Status Epilepticus?

Appraisal and reflections on the recently published ConSEPT and EcLiPSE trials – what do they mean for the treatment of paediatric status epilepticus?

JC: The beauty of simplicity. ANDROMEDA-SHOCK St Emlyn’s

For many years, we have enjoyed discussing the concept of euboxia in critical care​1​. If something has a normal range, and abnormality is bad, surely using medical interventions to restore it to the norm can

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