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Critical Care MedicineEpisodes
Episodes of Critical Care Medicine
Mark All
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As technology and medicine progress so do our options for care. But how does doing ‘what we can’ impact the ‘doing what is right’? How often do pressures related to the job cause us to act in ways that are inconsistent with our ethical values?
In this talk, Andrew will review the latest evidence on brain monitoring in TBI. Does aggressive brain monitoring impact outcomes, and how? Do aggressive therapies to lower raised ICP impact outcomes, and by how much? And what is the future of
Organ transplantation using organs donated after death is now the preferred treatment for many end-stage organ failures and is life-changing and life saving for recipients. Outcomes from transplantation are excellent, for example a third of liv
Acute Kidney Injury (AKI) affects nearly 40% of intensive care unit (ICU) patients and carries significant morbidity and mortality. Once AKI is established, renal replacement therapy (RRT) is the mainstay of supportive care. The best time to in
Diarrhoea is a prominent cause of morbidity and mortality in children under 5 years in lower to middle-income countries (LMICs). Current recommendations for intravenous rehydration are based on limited evidence. This talk covers the epidemiolog
Non-invasive oxygenation strategies include standard oxygen therapy, non-invasive ventilation, and high-flow nasal oxygen. Non-invasive ventilation in turn may be delivered via a helmet or a face-mask interface. When deployed for the treatment
Globally, critical illness results in millions of deaths every year. Although many of these deaths are potentially preventable, the basic, life-saving care of critically ill patients is often overlooked in health systems. Essential Emergency an
Medical practices at the end of life differ around the world. In the United States, medicine has moved from a paternalistic model to one that promotes autonomy and self-determination. In Europe and other regions of the world, patient-physician
This talk focuses on ways in which clinical trials in critical care medicine are evolving. Such evolutions include individual patient-level meta-analyses, registry trials, cluster trials, cluster crossover trials, cluster crossover registry tri
Clinical trials in critical care medicine are challenging to conduct and can be difficult to interpret. This talk will focus on some common problems encountered in clinical trial design and when evaluating big data. In particular, the talk with
Safety-critical industries require accurate task performance that is often multifaceted and reliant on time-sharing between concurrent tasks. Clinical tasks often involve multiple sensory modalities. Some of these tasks are auditory, such as sp
Perioperative handoffs, also known as handovers or signouts, are patient care transitions between clinicians or teams. They represent breaks in the continuity of care that have ability to introduce error, increasing the risk of adverse patient
Research and clinical practice in the field of early physical rehabilitation for critically ill patients is a dynamic field with evolving evidence from randomized controlled trials. Many studies have demonstrated the safety and feasibly of earl
The quality of survival for patients after intensive care unit (ICU) admission is a major health challenge that has been described as the defining challenge for critically ill in the 21st century. ICU survivors may have delayed and compromised
The pandemic has brought the ICU medical ethics of decision making and resource management into the public arena. We have also witnessed suffering in ICU staff from moral distress at unprecedented levels. What ethical lessons has the pandemic t
COVID19 survivors suffer from persistent respiratory symptoms and functional limitations after the acute infection. Longitudinal studies after SARS-CoV2 infection showed impairment in lung function exercise capacity and Lung imaging abnormaliti
Most ICU doctors think they are good communicators. Maybe you are. Maybe you are not. But all of us can be better communicators. In this talk, we will share our experience in leading UK ICU teaching in breaking bad news and organ donation conve
Acute on chronic liver failure (ACLF ~ cirrhosis with multiorgan failure) is associated with significant morbidity and mortality. ACLF require ICU admission often for vasopressor support, intubation/mechanical ventilation for acute lung injury/
Palliative care is a field of medicine that focuses on (among other things) symptom management, and communication and support. Palliative care principles have relevance throughout the ICU continuum, from serious illness prior to ICU admission,
Malnutrition is a major global health problem. Childhood malnutrition increases the risk of morbidity & mortality and has been shown to underlie almost half of the total number of deaths in children less than 5-years. In this lecture, we will r
Acute muscle wasting occurs rapidly in the critically ill patient, at rates of 2-3% per day, and is associated with levels of organ failure. Muscle wasting is associated with adverse outcomes at all stages of critical illness and critical illne
In the last five years, the introduction of cellular therapies has revolutionized the management of haematological cancers. The success of this approach has encouraged others to seek novel means to treat a variety of critical illness syndromes.
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