The LITFL Review 115

The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 114th edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and Chris Nickson [CN] from LITFL, iTeachEM and SMACC The Most Fair Dinkum Ripper Beauts of the Week It is hard to go past a Paul Marik talk on ‘Fluids in Sepsis’ as a candidate for ‘Ripper of the Week’. We all owe a debt to Scott Weingart for sharing this with us via EMCrit. Marik derides the ‘Early Goal Directed Therapy’ approach (Marik has previously written that ‘November 8th 2001 [the day that the Rivers trial was published] was one of the darkest days in the history of critical care…’), explains that hyperlactemia in sepsis has nothing to do with tissue hypoxia, emphasises the importance of the glycocalyx, begs us to avoid drowning our patients with fluid, highlights the role of noradrenaline in improving preload (something Myburgh and Harris emphasised at SMACC), and finally presents his algorithm for managment of septic shock based on assessm...
Source: Life in the Fast Lane - Category: Emergency Medicine Doctors Authors: Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs