Issue #221   -   Past Critical Care Newsletter issues
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RECENT COVID-19 NEWS

 
RECOVERY-RS trial finds CPAP reduces need for invasive ventilation in hospitalised COVID-19 patients

 

RECOVERY-RS trial finds CPAP reduces need for invasive ventilation in hospitalised COVID-19 patients

The NIHR-supported Respiratory Strategies in COVID-19; CPAP, High-flow, and Standard Care (RECOVERY-RS) trial has demonstrated that treating hospitalised COVID-19 patients who have acute respiratory failure with continuous... read more

 
 
Red Book: Report of the Committee on Infectious Diseases

 

Red Book: Report of the Committee on Infectious Diseases

Extending an 8-decade tradition of excellence, Red Book® provides the most reliable and clinically useful information on the manifestations, etiology, epidemiology, diagnosis and treatment of more than 200 childhood infectious... read more

 

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COVID-19, Online Shaming, and Health-care Professionals

 

COVID-19, Online Shaming, and Health-care Professionals

Stigma and shame have been features of past pandemics. The stigma associated with disease can be experienced as shame by those who spread it. In almost all human cultures, there is shame attached to being “contaminated”,... read more

 
 
Handbook of Evidence-Based Critical Care

 

Handbook of Evidence-Based Critical Care

This updated and revised edition of the classic bedside pocket reference remains the gold standard in critical care medicine. The new edition maintains Dr. Marik’s trademark humor and engaging writing style, while adding... read more

 
 
Cystic Fibrosis in the COVID-19 Pandemic

 

Cystic Fibrosis in the COVID-19 Pandemic

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the development of life-threatening COVID-19 are believed to disproportionately affect certain at-risk populations. However, it is not clear whether... read more

 
 
Adaptive Randomized Controlled Trial of Non-invasive Respiratory Strategies in ARF Patients with COVID-19

 

Adaptive Randomized Controlled Trial of Non-invasive Respiratory Strategies in ARF Patients with COVID-19

Continuous positive airway pressure (CPAP), compared with conventional oxygen therapy, reduced the composite outcome of intubation or death within 30 days of randomisation in hospitalized adults with acute respiratory failure... read more

 
 
Little Black Book of Pulmonary Medicine

 

Little Black Book of Pulmonary Medicine

This succinct, bulleted handbook is the ultimate resource for pulmonary and respiratory specialists. Throughout the book, tables and figures summarize important clinical data and current professional society recommendations,... read more

 
 
Eosinophilic Esophagitis

 

Eosinophilic Esophagitis

Once considered a rare condition, eosinophilic esophagitis is now one of the most common conditions diagnosed during the assessment of feeding problems in children and during the evaluation of dysphagia and food impaction... read more

 
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Progressive Increase in Virulence of COVID-19 Variants

 

Progressive Increase in Virulence of COVID-19 Variants

The progressive increase in transmissibility and virulence of SARS-CoV-2 VOCs will result in a significantly larger, and more deadly, pandemic than would have occurred in the absence of variants of concern (VOC) emergence.... read more

 
 
Junior Doctors Write to Young People to Acknowledge Vaccine Concerns

 

Junior Doctors Write to Young People to Acknowledge Vaccine Concerns

A group of junior doctors from Scotland have written to young people in their age group to try to ease concerns they may have about receiving the covid-19 vaccine. In an open letter sent on Friday 6 August the doctors, all... read more

 
 
Carotid Blowout Syndrome: Modern Trends in Management

 

Carotid Blowout Syndrome: Modern Trends in Management

Carotid blowout syndrome (CBS) refers to rupture of the carotid artery and is an uncommon complication of head and neck cancer that can be rapidly fatal without prompt diagnosis and intervention. CBS develops when a damaged... read more

 
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Should We Prolong the Observation Period for Neurological Recovery After Cardiac Arrest?

 

Should We Prolong the Observation Period for Neurological Recovery After Cardiac Arrest?

Up to 9.6% of cardiac arrest patients with favorable outcomes recover consciousness after the recommended 7 days of observation, indicating the observation time of 7 days seems justified but longer duration may be needed.... read more

 
 
Electrical Storm and Incessant Ventricular Tachycardia

 

Electrical Storm and Incessant Ventricular Tachycardia

Electrical storm, also referred to as arrhythmic storm, refers to multiple recurrences of ventricular arrhythmias over a short period of time. In most instances, the arrhythmia is ventricular tachycardia (VT), but polymorphic... read more

 
 
Oxford Textbook of Advanced Critical Care Echocardiography

 

Oxford Textbook of Advanced Critical Care Echocardiography

Advanced critical care echocardiography brings many benefits to critical care medicine. For those wishing to practice echo at a more advanced level, it is necessary to master the theoretical aspects. The Oxford Textbook of... read more

 
 
Variations in End-of-Life Practices in ICUs Worldwide

 

Variations in End-of-Life Practices in ICUs Worldwide

Limitation of life-sustaining therapies is common worldwide with regional variability. Withholding treatment is more common than withdrawing treatment. Variations in type, frequency, and timing of end-of-life decisions were... read more

 
 
Imputation Strategies for Missing Baseline Neurological Assessment Covariates After TBI

 

Imputation Strategies for Missing Baseline Neurological Assessment Covariates After TBI

Statistical models for outcome prediction are central to traumatic brain injury (TBI) research and critical to baseline risk adjustment. Glasgow coma score (GCS) and pupil reactivity are crucial covariates in all such models... read more

 
 
Expanding ECMO Cannulation Strategies in Neonatal Respiratory Failure

 

Expanding ECMO Cannulation Strategies in Neonatal Respiratory Failure

Infants with refractory respiratory failure who require extracorporeal membrane oxygenation (ECMO) have traditionally been cannulated via the venoarterial route or by using a dual-lumen venovenous cannula in the right internal... read more

 
 
Use of Bivalirudin for Anticoagulation in Pediatric ECMO

 

Use of Bivalirudin for Anticoagulation in Pediatric ECMO

This study describes the use of bivalirudin in children on extracorporeal membrane oxygenation (ECMO). Pediatric patients receiving bivalirudin were compared to patients receiving heparin as the anticoagulant on ECMO. Data... read more

 
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LATEST CRITICAL CARE PODCASTS
 

Every week we scour the web to bring you the latest podcast episodes related to ICU and Critical Care Medicine.

Adult GSW with Hemodynamic Collapse
Panelists discuss intubation in trauma patients, simple thoracostomy training and evidence-based medicine. Drs. Peter Antevy, Mark Piehl, & David Spiro evaluate provider-captured EMS video of an adult with a gunshot wound who receives whole blood and a finger thoracostomy.

Escaping “SCAPE”
This week, we discuss the use of noninvasive ventilation and high dose nitroglycerin to prevent intubation in patients with SCAPE

COVID and ICU Survivor

ICU Primary – Bedside preparation Part 1
In this episode, Dr Mike Clifford and I discuss how every ICU trainee can prepare for their primary exams on their day to day ward rounds.

ICU Primary – Bedside preparation Part 2
In this episode, we discuss the modified Pomodoro technique to help Primary candidates prepare for their exams during daily bedside ward rounds. 3 questions were discussed in this episode – Pulse oximeter, Comparison between Noradrenaline and vasopressin, and physiological effects of hypoxia.

Correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely
In this episode, I’ll discuss how correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely.

 
CRITICAL CARE UPCOMING EVENTS
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POPULAR CRITICAL CARE BOOKS
Hemodynamic Monitoring (Lessons from the ICU)
Hemodynamic Monitoring (Lessons from the ICU)
Prediction and Management of Severe Acute Pancreatitis
Prediction and Management of Severe Acute Pancreatitis
Oxford Textbook of Critical Care
Oxford Textbook of Critical Care
Electronic Health Records & Preventing Healthcare-Associated Infection
Electronic Health Records & Preventing Healthcare-Associated Infection
Seven Signs of Life: Stories from an Intensive Care Doctor
Seven Signs of Life: Stories from an Intensive Care Doctor
Intracranial Pressure & Neuromonitoring XVI
Intracranial Pressure & Neuromonitoring XVI
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