Tag: HMP4
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 HAT1) is a cure all for sepsis. There were some rather dramatic claims that …
JC: Lower GI bleeding guidance. St Emlyn’s
The management of the patient with apparent lower GI (gastro-intestinal) bleeding is, in my experience at least, somewhat variable. Unlike upper GI bleeding where the standards and expectations are reasonably well known1,2, the lower GI …
Aortic Emergencies with George Willis at #stemlynsLIVE
Back in late 2018 we gathered in Manchester for the inaugural #stemlynsLIVE conference. Our friend Dr George Willis gave a great talk on Aortic Emergencies. There are loads of great tips in here about diagnostics, …
JC: Intravenous fluid therapy in critically ill adults (review). St Emlyn’s
The use of Intravenous fluid therapy and the controversies around them have been a theme of the blog from the very beginning. From the early days when evidence increasingly pointed to the harms of starch …
JC: Are we getting cosy on the septic SOFA? St.Emlyn’s
Identifying, treating and prognosticating patients who attend the Emergency Department with infective symptoms, is part of the bread and butter of an emergency physician’s practice. It’s important that we identify patients that will develop …
Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions
We can be a confused bunch when it comes to sepsis. We have seen definitions, debates and controversies as to how we treat and what we treat. Today a new definition was unleashed on the …
JC: The end for potatoes on the ICU…?
Another Journal club, another fruity (or vegetable-y) discussion today. The recent large prospective RCT by the Scandinavian 6S trial group on HydroxyEthyl Starch vs Ringer’s acetate in severe sepsis was published in the NEJM this …