- Publish date : 01-12-2013
Welcome to another wrap of the critical care world.
Here's what's been happening:
- Mechanical Chest Compressions and Simultaneous Defibrillation vs Conventional Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest - The LINC Randomized Trial
Published by Rubertsson et al in JAMA. This 2589 patient, international, RCT, randomised OHCA patients to either mechanical chest compressions with the LUCAS Chest Compression System (+usual defibrillation per guidelines) or manual CPR. Findings include; defibrillation was delayed in mechanical group by 1.5 minutes, and they had less defibrillations in total. However there was no difference in primary outcome (4-hr survival) and no difference in survival or neurological outcome up to 6-months.
- Low-Dose Dopamine or Low-Dose Nesiritide in Acute Heart Failure With Renal Dysfunction The ROSE Acute Heart Failure Randomized Trial
Published by Chen et al in JAMA. The ROSE (Renal Optimisation Strategies Evaluation) trial compared low-dose dopamine (2 ug/kg/min) or low-dose nesiritide (0.005 uk/kg/min) or placebo to diuretic therapy in acute heart failure with renal dysfunction. Check out the results in our journal club.
Published by Acker et al in NEJM. This prospective study enrolled 447 patients with severe MR and randomised them to replacement or repair. To answer the question does mitral valve repair (chord sparing) offer similar outcomes to mitral valve replacement in chronic, severe ischaemic mitral regurgitation? It seems that overall the procedures produced similar functional outcomes, although there is a lot more recurrence in the repair group.
Why not have your say on any of our papers in Recent Comments?
All of these articles and more can be found in our Journal Club.
The recently published position statements include:
- Guidelines for the Transport of Critically Ill Patients published online by CICM/ANZCA/ACEM
- Management of Acute Pancreatitis by American College of Gastroenterology
- Guidelines and protocols of Warfarin Therapy by British Columbia Medical Association
Come and check out our latest podcasts!
Saline-induced acidosis: John Kellum is a professor of critical care medicine from the university of Pittsburgh and he joins Todd to talk about saline, acidosis and the virtues of balanced resuscitation fluids. – Out Tomorrow!
Do you have any ideas for our podcasts? Send your ideas for topics and experts to email@example.com
Come and check out our latest Vodcasts!
Positioning the ICU patient: Choosing the appropriate position for your patient is more important than it might first appear. In this review, we review the potential benefits and complications for various positions in the ICU patient.
Basics of Fluid Physiology: Ahead of the release of our latest module, Fluid therapy in ICU, we review the basic physiology principles that guide our current use of fluids.
Do you have any ideas for our vodcasts? Send your ideas for topics and experts to firstname.lastname@example.org.
Emergency Trauma Management Course: 17-19th January 2014. The Emergency Trauma Management Course is the first Emergency focused trauma course. Designed by Emergency Physicians, it will teach trauma management from the Emergency Medicine perspective, “how we really do it” in the ED
UCLH Course (London, UK): 25th January 2014. The UCLH Practical Introduction to Intensive Care Medicine Course isâ€¨a one day course aimed at novice Intensive Care trainees.
The link for this and many other conferences can be found on the Crit-IQ conference calendar here.
Until next time,
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