How do you assess quality of care in the Intensive Care Unit?
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Thu, 21/05/09 – 18:49 | No Comment

Several measures of ICU performance have been proposed in the past 30 years. It is intuitive, and correct, to assume that ICU mortality may be a useful marker of quality. However, crude mortality rates does …

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Articles in the Journal Club Category

The Endocrine Society alters position on Glycemic control after NICE-SUGAR study
Friday, 3 Apr, 2009 – 10:10 | No Comment
The Endocrine Society alters position on Glycemic control after NICE-SUGAR study

The Endocrine Society is an multi-national, multidiscipline organization with ~14,000 members from over 100 countries. It was founded in 1916 and publishes 4 peer-reviewed journals. On March 26th, 2009 immediately after the NICE SUGAR study …

NICE-SUGAR Study – Can we finally put this issue to rest?
Tuesday, 31 Mar, 2009 – 16:43 | One Comment
NICE-SUGAR Study – Can we finally put this issue to rest?

This week’s issue of NEJM features another in a long debated series of trials that investigates the benefits of  “tight” vs “conventional” glycemic control in the ICU.  Is this the one that finally gives us …

Evaluation of a Scientific Study – Evidence Based Medicine
Monday, 19 Jan, 2009 – 11:23 | No Comment
Evaluation of a Scientific Study – Evidence Based Medicine

Wander over to the Evidence Based Medicine section of the website
which has recently been opened!
Here you will have an opportunity to review an excellent series from the BMJ by senior lecturer Trisha Greenhalgh entitled “How …

Therapy Misalignment: How does this happen?
Wednesday, 5 Sep, 2007 – 20:03 | 2 Comments
Therapy Misalignment: How does this happen?

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 …

Safety in Critical Care
Saturday, 28 Jul, 2007 – 10:16 | No Comment
Safety in Critical Care

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 …

Acute Renal Failure in Sepsis
Thursday, 19 Jul, 2007 – 19:48 | No Comment
Acute Renal Failure in Sepsis

Dr. Michael Fernando (CA-2) did an excellent presentation of Acute Renal Failure and Sepsis featured in the July 2004 New England Journal of Medicine. With the significant morbidity and mortality associated with sepsis, septic shock …

Sepsis induced Myocardial Dysfunction
Wednesday, 18 Jul, 2007 – 19:53 | No Comment
Sepsis induced Myocardial Dysfunction

Dr. Ricardo Riveros (CA-2) presents a thorough review of Mechanisms of Sepsis-Induced Cardiac Dysfuntion featured in the May 2007 Critical Care Medicine. This was a very difficult review of basic science as well as the …