Crit-IQ Newsletter

  • Publish date : 25-08-2014
  • Hi Everyone!

    Lets have a look at the latest news and views in the critical care world.

    THE LITERATURE

    Effect of Oximetry on Hospitalization in Bronchiolitis: A Randomized Clinical Trial

    Schuh et al publish in JAMA. This trial randomised 213 otherwise healthy infants to +3% or true SpO2, and reported that +3% was associated with; reduced hospitalisations within 72 hrs (25% vs 41%, p=0.005), non-significant decrease in subsequent unscheduled medical visits for bronchiolitis (14.3% vs 21.3%, p=0.18) and no ICU admissions or other evidence of harm!

    Acute Outcomes and 1-Year Mortality of Intensive Care Unit–acquired Weakness: A Cohort Study and Propensity-matched Analysis

    Hermans et al publish in Am J Resp Crit Care Med. This planned analysis of the patients from the EPaNIC prospective nutrition RCT examines the relationship between ICU acquired weakness (ICUAW) and 1-year outcomes. ICUAW is associated with increased mortality and increased health care costs.

    Distinct determinants of long-term and short-term survival in critical illness

    Garland et al publish in Int Care Med. A population-based analysis of adults admitted to 11 ICUs in Manitoba, Canada, comparing survival to age and gender matched population controls. Overall results show short-term survival is determined predominantly by critical illness factors. If this phase is survived, it is age and co-morbidities that increasingly govern long-term survival.

    Why not have your say on any of our papers in Recent Comments?

    This article and many more can be found in our Journal Club.

     

    POSITION STATEMENTS

    New position statements include:

    The role of endoscopy in the management of variceal hemorrhage Published by the American Society of Gastrointestinal Endoscopy

    2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation. Published by the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society

     

    CT INTERPRETATION APP

    Don't be the last to download our latest app, CT interpretation in critical care.  This app is great for those learning their way around CT!  

    The app contains:

    • Over 70 complete CT series
    • Multiple image planes
    • Audible narrated radiology reports so you can listen while you review
    • Zoom and grid-references to make spotting abnormalities easy
    • Detailed tutorials on each case

    Download your copy in the iTunes store 

     

    BLOG

    Join Dr Chris Poynter, with his latest two blog topics

    Gaming in Medical Education:  The concepts and resources involved in the gaming could well be used in medical education but can such a niche market be catered for? Chris discusses the possibilities.

    The Green Intensivist – Is That an Oxymoron?: Discussing environmental sustainability in critical care. Chris raises many important issues such as how does one institute the change that is required and who should be responsible for it.

    Check it out and leave your comments here.

     

    POSITIONS VACANT

    Fellow Position: Auckland City Hospital, New Zealand: Two fixed term positions for 12 months each commencing in July and December 2015 respectively are advertised. This Fellow position has clinical duties and responsibilities designed to facilitate progression towards becoming an intensive care specialist. The successful candidate will be an advanced trainee with the Australasian College of Intensive Care Medicine or have an equivalent overseas qualification and will hold or be eligible for registration with the Medical Council of New Zealand.

    Crit-IQ's positions vacant page is a great way for your department to find its next staff member. Anyone can advertise a position on Crit-IQ, however our department members receive 4 free posts per year. For more information, contact us via admin@crit-iq.com

    Check out our positions vacant page for current vacancies today.

     

    WHAT’S ON

    International Fluid Academy Day (Antwerp, Belgium, November 28-29): Are you interested in fluid management of critically ill patients?  This fantastic seminar enters its 4th year and again features a top international panel of expert presenters. 

    The link for this and many other conferences can be found on the Crit-IQ conference calendar here.   

     

    Until next time,

    Keep Crit-IQ-ing!

  • Publish date : 18-08-2014
  • Hi Everyone!

    Lets have a look at the latest news and views in the critical care world.

    THE LITERATURE

    Acute Outcomes and 1-Year Mortality of Intensive Care Unit–acquired Weakness: A Cohort Study and Propensity-matched Analysis

    Hermans et al publish in Am J Resp Crit Care Med. This planned analysis of the patients from the EPaNIC prospective nutrition RCT examines the relationship between ICU acquired weakness (ICUAW) and 1-year outcomes. ICUAW is associated with increased mortality and increased health care costs.

    Distinct determinants of long-term and short-term survival in critical illness

    Garland et al publish in Int Care Med. A population-based analysis of adults admitted to 11 ICUs in Manitoba, Canada, comparing survival to age and gender matched population controls. Overall results show short-term survival is determined predominantly by critical illness factors. If this phase is survived, it is age and co-morbidities that increasingly govern long-term survival.

    Perioperative Atrial Fibrillation and the Long-term Risk of Ischemic Stroke

    Gialdini et al publish in JAMA. A retrospect cohort study identified 1 729 360 eligible patients who had an index surgical hospital admission in California over a 3 year period. They describe a significant association between new onset peri-operative AF and long-term risk of ischaemic stroke, particularly in non-cardiac surgery. So what are the implications for the care or these patients? Read more in our journal club comment.

    Timing of Renal Replacement Therapy and Patient Outcomes in the Randomized Evaluation of Normal Versus Augmented Level of Replacement Therapy Study

    In a further publication by the RENAL study investigators this nested observational cohort study of 439 patients with AKI (RIFLE-I criteria) in the RENAL RCT reports no relationship between onset of AKI, timing of initiation of CRRT and outcomes (28-day mortality & 90-day mortality).

    Obesity and 1-Year Outcomes in Older Americans With Severe Sepsis

    Prescott et al publish in Crit Care Med. This observational study of 1404 severe sepsis hospitalisations from Medicare beneficiaries enrolled in the US nationally representative Health and Retirement Study, adds further evidence to the obesity paradox.

    Ventilator-induced Lung Injury. Similarity and Differences between Children and Adults

    Kneyber et al publish in Am J Resp Crit Care Med. This Critical Care Perspective analyzes the relevance of VILI to the pediatric population, and addresses why pediatric patients might be less susceptible than adults to VILI.

    Why not have your say on any of our papers in Recent Comments?

    This article and many more can be found in our Journal Club.

     

    POSITION STATEMENTS

    New position statements include:

    The role of endoscopy in the management of variceal hemorrhage Published by the American Society of Gastrointestinal Endoscopy

    2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation. Published by the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society

    Consensus document on ultrasound training in Intensive Care Medicine. Published by the SEMICYUC's Working Group Cardiac Intensive Care in Med Intensiva

     

    CRIT-IQ HIGHLIGHT

    Data Interpretation

    Data interpretation is a fundamental skill for all critical care practitioners. Information is exhaustive and presented in varying forms from biochemistry results to waveform analysis.

    Have some downtime at work? Preparing for an exam? You can hone your skills by selecting from any of 20 different types of data sets including over 450 different question sets.

    Our data interpretation section is currently undergoing a revamp so there will be loads more questions to test your self against in the coming months. Check out our data interpretation section here

     

    BLOG

    Join Dr Chris Poynter, with his latest two blog topics

    Gaming in Medical Education:  The concepts and resources involved in the gaming could well be used in medical education but can such a niche market be catered for? Chris discusses the possibilities.

    The Green Intensivist – Is That an Oxymoron?: Discussing environmental sustainability in critical care. Chris raises many important issues such as how does one institute the change that is required and who should be responsible for it.

    Check it out and leave your comments here.

     

    POSITIONS VACANT

    Consultant Position: Gold Coast Hospital, Queensland, Australia: A 0.5 FTE position is advertised at the Robina Intensive Care Unit.  A 10 bed unit providing Level 2 ICU services. Accredited for 6 months basic and advanced CICM training. The unit admits more than 550 patients annually. Application deadline is the 19th August.

    Crit-IQ's positions vacant page is a great way for your department to find its next staff member. With over 3500 intensive care clinicians registered with Crit-IQ, there is no better way to target your prospective employee. While anyone can advertise a position on Crit-IQ, our department members receive 4 free posts per year. For more information, contact us via admin@crit-iq.com

    Check out our positions vacant page for current vacancies today.

     

    WHAT’S ON

    Beyond Basic Intensive Care Nephrology, Australia: 4th–5th November 2014. Jointly developed by the BASIC collaboration and the European Society of Intensive Care Medicine this course is designed to equip trainees, specialists, experienced nursed and educators with relevant skills and knowledge in critical care nephrology. Held at the Nepean Hospital, NSW.

    CICM Education Conference, Gold Coast, Australia: 4th-5th September 2014. The College of Intensive Care Medicine strongly advocate that SOTs and others who care about medical education in the ICU attend this meeting. The keynote speaker, John Sweller, is internationally recognised for his work on cognitive load. The opportunity to learn from experts to improve teaching efficacy is a great opportunity. The course will also be valuable to specialists from other specialities with an interest in education.

    The link for this and many other conferences can be found on the Crit-IQ conference calendar here.   

     

    Until next time,

    Keep Crit-IQ-ing!

  • Publish date : 04-08-2014
  • Hi Everyone!

    Lets have a look at the latest news and views in the critical care world.

    THE LITERATURE

    Empiric Antibiotic Treatment Reduces Mortality in Severe Sepsis and Septic Shock From the First Hour: Results From a Guideline-Based Performance Improvement Program

    Ferrer et al publish in Crit Care Med. A retrospective analysis of 17,990 patients from 165 ICUs in Europe, US, and South America, with severe sepsis and septic shock, who received antibiotics. Overall this study confirms the association between delay in initial antibiotic administration and increased mortality in severe sepsis/ septic shock

    Randomized Controlled Trial Comparing Cerebral Perfusion Pressure–Targeted Therapy Versus Intracranial Pressure–Targeted Therapy for Raised Intracranial Pressure due to Acute CNS Infections in Children

    Kumar et al publish in Crit Care Med. A prospective open-label randomized controlled trial in which 110 children with acute CNS infection, GCS <=8, and evidence of raised ICP were randomised to; CPP >60 mmHg using, NS bolus, dopamine, then noradrenaline, then osmotherapy/sedation/hyperventilation. Or ICP <20 mmHg using osmotic diuretic (3% saline or mannitol), then sedation/hyperventilation.  The study suggests that CPP target therapy provides superior mortality and neurological outcomes compared to ICP target therapy

    Prospective Study on the Clinical Course and Outcomes in Transfusion-Related Acute Lung Injury

    TRALI study group publish in Crit Care Med. This prospective observational study outlines the clinical course and outcomes associated with TRALI. They compare TRALI, possible TRALI and controls. Conclusions are made on duration of mechanical ventilation, ICU LOS, hospital LOS and mortality.

    Why not have your say on any of our papers in Recent Comments?

    This article and many more can be found in our Journal Club.

     

    POSITION STATEMENTS

    New position statements include:

    2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation. Published by the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society

    Consensus document on ultrasound training in Intensive Care Medicine.Publsihed by the SEMICYUC's Working Group Cardiac Intensive Care in Med Intensiva

     

    PODCASTS

    Come and check out our latest podcasts!

    July Journal Club Wrap: Join Dr Neil Orford as he summarises the key literature from the past month. Staying up to date has never been easier. – Out Tomorrow!

    Do you have any ideas for our podcasts?  Send your ideas for topics and experts to admin@crit-iq.com

     

    BLOG

    Join Dr Chris Poynter, with his latest two blog topics

    Gaming in Medical Education:  The concepts and resources involved in the gaming could well be used in medical education but can such a niche market be catered for? Chris discusses the possibilities.

    The Green Intensivist – Is That an Oxymoron?: Discussing environmental sustainability in critical care. Chris raises many important issues such as how does one institute the change that is required and who should be responsible for it.

    Check it out and leave your comments here.

     

    POSITIONS VACANT

    Registrar / Senior Registrar Position: The Royal Darwin Hospital, Northern Territory, Australia: An 18 bed mixed Paediatric/Adult Level 3 ICU with approximately 1000 admissions per annum. CICM accredited for basic and 12 months advanced training and meets the requirements for paediatric and trauma training in the new CICM curriculum. The ICU registrar post is shift based 7 off: 7 on. The ICU SR is day shift with night remote call.

    Crit-IQ's positions vacant page is a great way for your department to find its next staff member. With over 3500 intensive care clinicians registered with Crit-IQ, there is no better way to target your prospective employee. While anyone can advertise a position on Crit-IQ, our department members receive 4 free posts per year. For more information, contact us via admin@crit-iq.com

    Check out our positions vacant page for current vacancies today.

     

    WHAT’S ON

    CICM Education Conference, Gold Coast, Australia: 4th-5th September 2014. The College of Intensive Care Medicine strongly advocate that SOTs and others who care about medical education in the ICU attend this meeting. The keynote speaker, John Sweller, is internationally recognised for his work on cognitive load. The opportunity to learn from experts to improve teaching efficacy is a great opportunity. The course will also be valuable to specialists from other specialities with an interest in education.

    The link for this and many other conferences can be found on the Crit-IQ conference calendar here.   

     

    Until next time,

    Keep Crit-IQ-ing!