A 49 year old man with confusion, hypothermia and shock requiring urgent resuscitation has blood results which show Continue reading
Tag Archives: shock
Lab Case 109 – Interpretation
80 year old man with altered mental state and shock requiring urgent resuscitation Continue reading
Lab Case 95 – Interpretation
44 year old critically unwell man with low GCS and severe hypothermia Continue reading
Lab Case 67 – Interpretation
5 year old critically unwell child who is hypotensive and tachycardic Continue reading
Lab Case 24 – Interpretation
The stem suggests:
severe sepsis ( vital signs show a SIRS response)
Consider stage of cancer and intervention required.
Risk of Pulmonary embolism. Continue reading
FOAM Eye-Catchers 4
Time for a Rethink on IV Fluids in Sepsis?
Earlier this year in March, I was fortunate enough to pilgrimage to the inaugural FOAMite mecca – SMACC (Social Media And Critical Care) Conference in Sydney. Quite frankly, it was the best conference I’ve ever attended. Some of the highlights included talks by Prof John Myburgh, in particular one on IV fluids in Sepsis, available for free via SMACC talk archive.
Recently Emcrit released a paradigm shifting lecture by Dr Paul Marik on fluids in sepsis that builds on some of the theme’s of Prof Myburgh’s talk. Not long after, Scott Weingart released his response to Dr Marik’s lecture.
All 3 talks are well worth listening to in full. However I’ve summarised some of the key concepts below as well as the FEAST study which is a landmark study discussed in both talks: Continue reading