Category Archives: Intensive Care

SEPSIS PROGRESS

The PROCESS and SEPSISPAM studies were serious blows to protocol EGD therapy in sepsis. With all the other dead ends we pursued (activated protein C, colloids, intensive insulin therapy, cortisone and what not) it is tempting to think that little … Continue reading

Posted in Infectious diseases, Intensive Care | Leave a comment

PRESSOR DOSES AND PROGNOSTICS

Just a short post. In fact, I am writing these first two sentences just to make the post somewhat longer. Anyway, a paper in Journal of Critical Care makes vasopressor infusion doses less abstract. The authors correlate adrenaline and noradrenaline … Continue reading

Posted in Intensive Care, Uncategorized | 6 Comments

HYPOTHERMIC INFECTIONS

Adding to the discussion on therapeutic hypothermia or just avoiding hyperthermia in cardiac arrest patients after ROSC, there’s a new systematic review slash meta-analysis on infection rates in hypothermic vs normothermic patients. Prolonged therapeutic hypothermia shows an increased risk of … Continue reading

Posted in Emergency Medicine, Intensive Care | Leave a comment

β-BLOCKER IN SEPSIS – A TRIAL

A small study with patients randomised to standard ICU sepsis therapy, or ICU sepsis therapy with beta blockage. We’ve written about the potential for β-blockage in sepsis earlier. This is the first clinical trial. It shows much better survival for … Continue reading

Posted in Intensive Care | 9 Comments

NO COUNTRY FOR OLD MEN

What does ICU do to old patients? How does the elderly popuplation do after critical illness? One thing is that we can often get them through the initial surgery/treatment and even through ICU, but the total burden of illness can … Continue reading

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BEST OF 2013

Another year comes to an end. So here’s a selection of posts from 2013. Not sure if it’s the best of ScanCrit 2013, but these are some of the posts that’s gotten the most clicks and discussion, and some we … Continue reading

Posted in Anesthesia, Emergency Medicine, Intensive Care | Leave a comment

CLEAR AS CRISTAL

Just as we were getting used to wearing our smug I-told-you-so grins about how very bad big pharma’s HES crystalloids are, the CRISTAL study comes along, suggesting colloids – even HES – are good for your shocked patients. But are … Continue reading

Posted in Intensive Care | 2 Comments

PERCUTANEOUS TRACKIES NOT SO SAFE AFTER ALL…

A literature review in crit care reminds me of how ICU percutaneous tracheostomies are potentially dangerous and is associated with significant mortality. This mortality needs to be weighed in when deciding wether to make the hole in the neck or … Continue reading

Posted in Airway management, Intensive Care | 2 Comments

THERAPEUTIC HYPOTHERMIA – NOT SO COOL

A recent study published in New England Journal of Medicine has created a splash in EM social media. While it acknowledges that temperature control is important, it also suggests therapeutic cooling of cardiac arrest survivors does not work.

Posted in Cardiology, Emergency Medicine, Intensive Care | 6 Comments

CPR ON STEROIDS

Vasopressin has been advocated in and out of the CPR algorithm. Adrenaline is still hanging in there. And now the Greeks want to add steroids?! In this pretty solid multi center trial, they randomised cardiac arrest patients to standard adrenaline … Continue reading

Posted in AHLR, Emergency Medicine, Intensive Care | 3 Comments