Dr. Douglas Naylor presented an excellent focused review of the basic management of Burn and Trauma patients. Even though this may not address the “run of the mill” ICU patients, it is extremely important for critical care practitioners to understand the basics of acute trauma management. Always remember the BASICS!!! A irway, B reathing, C irculation !!!
Dr. Tim Sable’s review of a common and recurrent issue in critical care practice: therapy misalignment. Review the presentation to see how current practitioners use randomized controlled trials to manage ICU patients and whether or not these therapies are in line with the results of the studies. Dr. Sable reviews the TRICC and ARMA trials as examples. This presentation is archived in the section of Journal Club Presentations.
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Dr. Dana Darwish presents an excellent review of one of the classic papers in critical care literature by Rivers et al. This landmark study looks at Early Goal-Directed Therapy in the treatment of Septic Shock. Do we finally have an answer to the near 40% mortality rate from this morbidity? The review of the stud below may help you figure that out. This presentation is archived in the section of Journal Club Presentations.
Dr. Christofer Utz did an excellent review of the Critical Care Safety Study published in 2005 Critical Care Medicine. The primary objective of this study was to identify the incidence and rates of adverse events in critical care units per 1000 patient days. Dr. Utz reports the study design, methods as well as resuts and finished the presentation with a nice critique on several limitations of this study. The discussion was very engaging and raised several important questions regarding how should we truly define a medical error. The audience also questioned whether we should be reporting some of these errors at all vs. should we be reporting more than we already do today. This presentation is archived in the section of Journal Club Presentations.
The summer edition of the North Eastern Ohio Critical Care Society (NEOCCS) was held at Johnny’s Downtown in Cleveland, OH. The event was sponsored by Hospira. The meetings featured Intensivists-Anesthesiologists, Critical Care Fellows, Residents and an ICU Nurse Practitioner. The discussion was related to sedation in the ICU and specifically addressed the “almost impossible” to sedate post op patient at risk for respiratory collapse. Dr. Ali Jahan (CCF) was the presenter for the evening. He moderated a heated debate upon the use of several different pharmacological agents (such as haldol, propofol, benzodazepines, narcotics, dexemetetomidine) as well as ventilation techniques (NIPPV vs. intubation) in Read more…
