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Presentation by Dr Jason Wu - resident in Critical Care at TWH, for the critical care journal club report findings of a paper by Kaukonen KM, et al. N Engl J Med. 2015 & update from the recent SMACC conference in Chicago #FOAMed #SMACC (http://www.ncbi.nlm.nih.gov/m/pubmed/25776936/)
Defining sepsis - Journal Club (Jason Wu)
Defining sepsis - Journal Club (Jason Wu)
Bishan Rajapakse
Hot Topics - Portsmouth INtensive Care Exam Revision Course 23rd Sept 2016
Hot Topics in Critical Care
Hot Topics in Critical Care
Steve Mathieu
Hot topics lecture given by Rob Mac Sweeney at the FFICM Preparation Course in London on March 9th 2016
Rob Mac Sweeney's FFICM Hot Topics Talk March 2016
Rob Mac Sweeney's FFICM Hot Topics Talk March 2016
robmacsweeney
Hot Topics presentation from Portsmouth INtensive Care Exam Revision Course 23rd Sept 2016
PINCER - Hot Topics Sept 2016
PINCER - Hot Topics Sept 2016
Steve Mathieu
Bill Knight explains the concept of death by neurological criteria and the complexities surrounding organ donation in such situations. Bill discusses the process of dying, the definition of death, how to approach the neurologically dead patient and how to consider organ donation. Death is a complex topic. Due to advancements in medical technology and processes, the definition of death is a challenging one. Bill talks at length about the definition of death by the neurological criteria. Dying is an active process, whereas death is an event. The acceptance of death by the neurological criteria is often challenging as Bill will highlight. Bill talks about the care of the dying or dead patient. There is a point at which care will transition from supporting the patient to supporting the organs. This is still good care. There is an alignment of parallel intentions – first and foremost resuscitation of patients and then failing that, proceeding to considering and actioning organ donation. This is important due to the shortage of viable donor organ worldwide. The donation process itself is complex. Bill provides his thoughts. He insists that an intensivist be involved as this has been shown to increase the number of viable and healthy organs made available. The timing is also important. Available evidence does not support the need for immediate procurement after brain death. Taking time to optimise perfusion and allow recovery and cardiac function is appropriate and should be done. Bill also discusses other treatment options at the time of death such as optimising endocrine function. Finally, Bill will provide some practical considerations when communicating with the dead patient’s family. This involves being clear on your messaging. You are supporting organs, not life. To reinforce this point, Bill suggests not examining or talking to the patient. He also recommends using all of the available hospital support services. Similarly, it is best to not introduce the topic of organ donation to the family yourself as the treating clinician. Utilise the Organ Procurement Organisations (or similar services) and get them involved early to speak with the family. Join Bill Knight in his talk on the North American perspective on Organ Donation, brain death and management of the brain dead donor prior to organ donation. For more like this, head to our podcast page. #CodaPodcast
Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill Knight
SMACC Conference
Portsmouth INtensive Care Exam Revision (PINCER) Course
Hot Topics in Critical Care - March 2017
Hot Topics in Critical Care - March 2017
Steve Mathieu
Presentation contributed by Dr. Mayuri Trivedi, DM Resident in Nephrology, IPGMER, Kolkata
Approach to deceased donor transplantation
Approach to deceased donor transplantation
Vishal Golay
The CHEST trial - HES in the ICU
The CHEST trial - HES in the ICU
Andrew Ferguson
Recomendados
Presentation by Dr Jason Wu - resident in Critical Care at TWH, for the critical care journal club report findings of a paper by Kaukonen KM, et al. N Engl J Med. 2015 & update from the recent SMACC conference in Chicago #FOAMed #SMACC (http://www.ncbi.nlm.nih.gov/m/pubmed/25776936/)
Defining sepsis - Journal Club (Jason Wu)
Defining sepsis - Journal Club (Jason Wu)
Bishan Rajapakse
Hot Topics - Portsmouth INtensive Care Exam Revision Course 23rd Sept 2016
Hot Topics in Critical Care
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Steve Mathieu
Hot topics lecture given by Rob Mac Sweeney at the FFICM Preparation Course in London on March 9th 2016
Rob Mac Sweeney's FFICM Hot Topics Talk March 2016
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robmacsweeney
Hot Topics presentation from Portsmouth INtensive Care Exam Revision Course 23rd Sept 2016
PINCER - Hot Topics Sept 2016
PINCER - Hot Topics Sept 2016
Steve Mathieu
Bill Knight explains the concept of death by neurological criteria and the complexities surrounding organ donation in such situations. Bill discusses the process of dying, the definition of death, how to approach the neurologically dead patient and how to consider organ donation. Death is a complex topic. Due to advancements in medical technology and processes, the definition of death is a challenging one. Bill talks at length about the definition of death by the neurological criteria. Dying is an active process, whereas death is an event. The acceptance of death by the neurological criteria is often challenging as Bill will highlight. Bill talks about the care of the dying or dead patient. There is a point at which care will transition from supporting the patient to supporting the organs. This is still good care. There is an alignment of parallel intentions – first and foremost resuscitation of patients and then failing that, proceeding to considering and actioning organ donation. This is important due to the shortage of viable donor organ worldwide. The donation process itself is complex. Bill provides his thoughts. He insists that an intensivist be involved as this has been shown to increase the number of viable and healthy organs made available. The timing is also important. Available evidence does not support the need for immediate procurement after brain death. Taking time to optimise perfusion and allow recovery and cardiac function is appropriate and should be done. Bill also discusses other treatment options at the time of death such as optimising endocrine function. Finally, Bill will provide some practical considerations when communicating with the dead patient’s family. This involves being clear on your messaging. You are supporting organs, not life. To reinforce this point, Bill suggests not examining or talking to the patient. He also recommends using all of the available hospital support services. Similarly, it is best to not introduce the topic of organ donation to the family yourself as the treating clinician. Utilise the Organ Procurement Organisations (or similar services) and get them involved early to speak with the family. Join Bill Knight in his talk on the North American perspective on Organ Donation, brain death and management of the brain dead donor prior to organ donation. For more like this, head to our podcast page. #CodaPodcast
Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill Knight
SMACC Conference
Portsmouth INtensive Care Exam Revision (PINCER) Course
Hot Topics in Critical Care - March 2017
Hot Topics in Critical Care - March 2017
Steve Mathieu
Presentation contributed by Dr. Mayuri Trivedi, DM Resident in Nephrology, IPGMER, Kolkata
Approach to deceased donor transplantation
Approach to deceased donor transplantation
Vishal Golay
The CHEST trial - HES in the ICU
The CHEST trial - HES in the ICU
Andrew Ferguson
Hot Topics talk given by Rob Mac Sweeney at the National FFICM Exam Preparation Course, London, February 23rd 2015
Hot Topics - FFICM Preparation Course 230215
Hot Topics - FFICM Preparation Course 230215
robmacsweeney
These slides form part of a Hot Topics presentation from Feb 2015 for Portsmouth INtensive Care Exam Revision (PINCER) Course
PINCER - Hot Topics
PINCER - Hot Topics
Steve Mathieu
Critical Care Trials summary To download send me an email to sherif_badrawy@yahoo.com
ICU Trials summary
ICU Trials summary
Sherif Elbadrawy
ICU topics for Final FRCA
ICU topics for Final FRCA
Andrew Ferguson
Revisión de la evidencia vigente en nefropatía inducida por contraste
Nefropatia inducida por medio de contraste 2015
Nefropatia inducida por medio de contraste 2015
Cristhian Bueno Lara
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The use of adrenaline in cardiac arrest resuscitation has been advocated since the 1960s. Laboratory studies and anecdotal experience showed improved rates of return of spontaneous circulation (ROSC) with the use of adrenaline at a dosage of approximately 0.01 mg/kg. This led to the widespread adoption of adrenaline administration during cardiac arrest into every resuscitation guideline for decades to come. Extensive laboratory studies characterized the beneficial physiological effects of adrenaline during cardiac arrest and closed-chest cardiopulmonary resuscitation (CC-CPR). Adrenaline administered during CC-CPR results in peripheral arterial vasoconstriction that raises the aortic pressure, particularly during the relaxation phase of CC-CPR. This increase in aortic pressure results in an increased aortic to right atrial pressure gradient that drives blood flow to the myocardium during CC-CPR. This pressure gradient is known as the coronary perfusion pressure (CPP) and has been shown to correlate with ROSC in both laboratory investigations and clinical studies. During the 1990s, the use of “high-dose” adrenaline showed increased rates of ROSC compared to “standard-dose” adrenaline. However, it was subsequently recognized that larger doses of adrenaline did not result in improved survival. Furthermore, questions have been raised as to whether or not “standard-dose” adrenaline improves survival from cardiac arrest. Recent meta-analyses have raised serious questions about the value of adrenaline, showing a benefit for achieving ROSC but no clear evidence of improved long-term survival. Controlled clinical trials to address this question are now underway. However, there is another important issue that needs to be addressed: the “route” of administration. With the growing interest in endovascular resuscitation, the use of intra-aortic adrenaline titration offers a means of rapidly and effectively delivering adrenaline to peripheral arterial effector sites while providing arterial pressure and CPP monitoring to guide titration of adrenaline doses to achieve an optimal hemodynamic effects while avoiding excessive adrenaline doses. To enable screen reader support, press shortcut Ctrl+Alt+Z. To learn about keyboard shortcuts, press shortcut Ctrl+slash.
Rethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac Arrest
SMACC Conference
Delaney shares insights into the mysterious world of statistics and trials. This 12 minute podcast is particularly useful for Registrars preparing for their exams and was recorded at BCC4. For similar podcasts and audio; head to www.intensivecarenetwork.com and to rego for BCC5 in Cairns, check out www.bedsidecriticalcare.com
BCC4: Delaney on Stats and Trials "Stuff"
BCC4: Delaney on Stats and Trials "Stuff"
SMACC Conference
Michael Parr, director of Liverpool ICU in Australia, speaks about "Surviving Trauma Guidelines". He does so through the use of an interesting case of a patient admitted to ICU following a MVA. This educational podcast was recorded at BCC4.
BCC4: Michael Parr on ICU - Surviving Trauma Guidelines
BCC4: Michael Parr on ICU - Surviving Trauma Guidelines
SMACC Conference
Hot Topics Presentation - PINCER Course
PINCER - Hot Topics March 2016
PINCER - Hot Topics March 2016
Steve Mathieu
Review of all studies published in relation to Early Goal Directed therapy starting with Rivers finding to the most recent trials .
Early Goal Directed Therapy in 2015
Early Goal Directed Therapy in 2015
Yazan Kherallah
Associate Professor Samuel Galvagno: My bloody head: Diagnosis and management of coagulopathy and traumatic brain injury. From CICM ASM PROGRAM 2019.
My bloody head: Diagnosis and management of coagulopathy and traumatic brain ...
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CICM 2019 Annual Scientific Meeting
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Contemporary management of spinal injury by Dr Jonathon Ball
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CICM 2019 Annual Scientific Meeting
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Stephen Bernard shares his thoughts and the current evidence for using oxygen for cardiac arrest patients. Oxygen is ubiquitous in society! You can buy it in bottles and there are even oxygen cafes. This is especially true in hospitals where oxygen is used frequently and often without much thought. Oxygen is a natural substance. So surely, a short time on 100% oxygen can’t be harmful, right? Stephen wants to challenge that idea. In this talk he presents the data on why oxygen might be harmful to your patients, particularly following a cardiac arrest. Out-of-hospital cardiac arrest (OHCA) is common and carries a high mortality rate. In Victoria, Australia, approximately 50% of patients with an initial cardiac rhythm of VF achieve a return of spontaneous circulation (ROSC) and 30% overall survive to hospital discharge. The outcome for patients is improving. This is due mainly to faster ambulance response times and increased rates of bystander CPR. What is done in the hospital has altered the patient’s outcomes in the same way. Currently, OHCA patients who have achieved ROSC but who remain unconscious routinely receive 100% oxygen for several hours in the ambulance, ED, cardiac catheterisation laboratory until admission to ICU. However, there is now evidence from laboratory studies and preliminary observational clinical studies that the administration of 100% oxygen during the first few hours following resuscitation may increase both cardiac and neurological injury. Clinical trials are underway to test whether titrated oxygen to a target oxygen saturation of 90-94% in the immediate hours after ROSC results in improved outcomes compared with 100% oxygen. Join Stephen as he makes you think twice about blindly using oxygen for patients following a cardiac arrest.
Cardiac Arrest and Oxygen: Stephen Bernard
Cardiac Arrest and Oxygen: Stephen Bernard
SMACC Conference
Sepsis management: Has anything changed? - อ.นพ.กลวิชย์ ครองตระกูล
ACTEP2014: Sepsis management has anything change
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taem
CHORUS: LORD I am grateful, grateful,I’m grateful LORD for all you have done (2x)
LORD I AM GRATEFUL
LORD I AM GRATEFUL
Oradiegwu Chikezie
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
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big data made simple!!!!!
Big data made simple ppp five experts talk
Big data made simple ppp five experts talk
kwpillich
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Hot Topics talk given by Rob Mac Sweeney at the National FFICM Exam Preparation Course, London, February 23rd 2015
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These slides form part of a Hot Topics presentation from Feb 2015 for Portsmouth INtensive Care Exam Revision (PINCER) Course
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The use of adrenaline in cardiac arrest resuscitation has been advocated since the 1960s. Laboratory studies and anecdotal experience showed improved rates of return of spontaneous circulation (ROSC) with the use of adrenaline at a dosage of approximately 0.01 mg/kg. This led to the widespread adoption of adrenaline administration during cardiac arrest into every resuscitation guideline for decades to come. Extensive laboratory studies characterized the beneficial physiological effects of adrenaline during cardiac arrest and closed-chest cardiopulmonary resuscitation (CC-CPR). Adrenaline administered during CC-CPR results in peripheral arterial vasoconstriction that raises the aortic pressure, particularly during the relaxation phase of CC-CPR. This increase in aortic pressure results in an increased aortic to right atrial pressure gradient that drives blood flow to the myocardium during CC-CPR. This pressure gradient is known as the coronary perfusion pressure (CPP) and has been shown to correlate with ROSC in both laboratory investigations and clinical studies. During the 1990s, the use of “high-dose” adrenaline showed increased rates of ROSC compared to “standard-dose” adrenaline. However, it was subsequently recognized that larger doses of adrenaline did not result in improved survival. Furthermore, questions have been raised as to whether or not “standard-dose” adrenaline improves survival from cardiac arrest. Recent meta-analyses have raised serious questions about the value of adrenaline, showing a benefit for achieving ROSC but no clear evidence of improved long-term survival. Controlled clinical trials to address this question are now underway. However, there is another important issue that needs to be addressed: the “route” of administration. With the growing interest in endovascular resuscitation, the use of intra-aortic adrenaline titration offers a means of rapidly and effectively delivering adrenaline to peripheral arterial effector sites while providing arterial pressure and CPP monitoring to guide titration of adrenaline doses to achieve an optimal hemodynamic effects while avoiding excessive adrenaline doses. To enable screen reader support, press shortcut Ctrl+Alt+Z. To learn about keyboard shortcuts, press shortcut Ctrl+slash.
Rethinking Adrenaline in Cardiac Arrest
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SMACC Conference
Delaney shares insights into the mysterious world of statistics and trials. This 12 minute podcast is particularly useful for Registrars preparing for their exams and was recorded at BCC4. For similar podcasts and audio; head to www.intensivecarenetwork.com and to rego for BCC5 in Cairns, check out www.bedsidecriticalcare.com
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Cardiac Arrest and Oxygen: Stephen Bernard
Cardiac Arrest and Oxygen: Stephen Bernard
SMACC Conference
Sepsis management: Has anything changed? - อ.นพ.กลวิชย์ ครองตระกูล
ACTEP2014: Sepsis management has anything change
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Destacado
CHORUS: LORD I am grateful, grateful,I’m grateful LORD for all you have done (2x)
LORD I AM GRATEFUL
LORD I AM GRATEFUL
Oradiegwu Chikezie
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
Скиту Омск
big data made simple!!!!!
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Durant aquesta sessió hem parlat de la importància del màrqueting digital - per diferenciar-nos de la competència, en un mercat sobresaturat - posicionar-nos a internet. Si no som a Google, no existim! Hem parlat d'estratègies internacionals, ja que hi ha algunes especificitats que cal tenir en compte I no, no es tracta de tenir molts diners o de ser empreses molt grans, ni tampoc de fer feina extra. Es tracta d'activar el "xip 2.0" en el nostre dia a dia empresarial. Sempre amb indicadors d'èxit Aquí podeu llegir el ressò que ha tingut a la premsa aquesta formació: http://bit.ly/1nmp93c Més presentacions, vídeos i continguts a http://www.txellcosta.com
Màrqueting digital
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CHORUS: Knowing you, Jesus knowing you,There is no greater thing,You’re my all, you’re the best,You’re my joy, my righteousness, And I love you Lord.
MY HEART DESIRE
MY HEART DESIRE
Oradiegwu Chikezie
Destacado
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LORD I AM GRATEFUL
LORD I AM GRATEFUL
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
сергей есенин диалог с 21 веком. конкурс художественного слова фотоотчет
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cjani
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Pushpa Latha
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Septic shock, updated presentation, including latest guidelines from Intensive care societies and how to approach to the diagnosis with few notes about Early Goal Directed Therapy and role of steroids
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Geriatric Anaesthesia - considerations
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Anuradha
A 2 part presentation. Part 1 reviews a paper on the long-term clinical outcomes of STEMI patients undergoing remote ischaemic perconditioning prior to primary percutaneous coronary intervention. The 2nd part looks at how this technique can be used in Paramedic practice.
Remote Ischaemic Conditioning: A Paper Review & Uses in Paramedic Practice
Remote Ischaemic Conditioning: A Paper Review & Uses in Paramedic Practice
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Comparison of two fluid management strategies in acute lung injury
Comparison of two fluid management strategies in acute lung injury
Dang Thanh Tuan
Introduction, History and Indications - Teaching for Nursing Personnel
Continuous Renal Replacement Therapy
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Shairil Rahayu
Some interesting papers from 2014 that might affect your practice
Hospital Medicine Update, VA ACP Meeting 2015
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Jon Sweet
2012 anemo inghelmo - criteri trasfusionali in pediatria
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2009artandscienceofhemodynamicmonitoringfewphotos
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Remote Ischaemic Conditioning: A Paper Review & Uses in Paramedic Practice
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Evidence basedcritcare06
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Evidence-based critical care
– Update 2006 Joel Peerless MD 3 January 2006
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EBM in perspective
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