Talk of the town

Current ICMWK post

A briefer summary of the management of severe traumatic brain injury – from the new BTF guidelines.btf4-changes


Recent ICM trials/studies 

1. Long term quality of life in severe sepsis survivors, assessed by analysis of PROWESS-SHOCK and ACCESS trials.

2. Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit. Early or delayed RRT?

3. Beta lactam infusions look like the right mode of delivery.  Continuous versus Intermittent B-lactam Infusion in Severe Sepsis

4. RESCUEicp needs reading carefully re decompressive craniectomy for traumatic brain injury.

5.  The VANISH Randomized Clinical Trial looked at vasopressin ‘v’ noradrenaline in septic shock with AKI.

6. Platelets for the acute haemorrhagic stroke patient on antiplatelet agents seems not such a good idea in PATCH.


Recent FOAMcc selection

Recent guidelines

 Other recent ICMWK posts

Severe traumatic brain injury reguidelined

Guidelines for the management of severe traumatic brain injury Brain trauma foundation: 4th edition, 2016   This is a brief summary and some of the wording is changed for brevity, hopefully without too much loss of accuracy. Although not explicitly stated on the guidelines, ‘Severe brain injury’ is generally defined as a brain injury resulting …

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Sepsis 3: rise of the SOFA

Sepsis remains a syndrome without a validated criterion or standard diagnostic test but increasingly comprehensive data sets are making it easier to test validity of  potential criteria. The current instalment of this work in progress has refined the definition of sepsis in light of recent analyses and opinion. Sepsis is life-threatening organ dysfunction caused by a dysregulated …

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