CCC Update 009

Here is a quick overview of the major updates and revisions to the LITFL Critical Care Compendium since CCC Update 008.

Check these out:

Airway and cervical spine injuries

• People can get pretty twitchy about intubating patients with suspected cervical spine injuries. Apply MILS, use a bougie and perform rapid sequence intubation. What’s so hard about that?… 😉

Airway management in Major Trauma

• An overview of the issues affecting airway management in major trauma, including the indications for intubation the possible causes of airway compromise in this setting.

Antimicrobial stewardship

• Updated with a recent systematic review, CDC recommendations and the very useful ‘Antimicrobial Creed’.

Antibiotic timing

• Updated in light of the Ferrer et al, 2014 study that reiterates the importance of early antibiotic adminstration in not only septic shock, but also severe sepsis.

Dexmedetomidine

• This one has been totally revamped, not just the key clinical pharmacology but an evidence overview as well.

Intra-arrest therapeutic hypothermia (IATH)

• In the wake of the TTM trial, some argue that intra-arrest cooling may still be of benefit. I’m not getting too carried away just yet…

Statins in Critical Care

• Though the ink was barely dry on this one, the page has already been updated in light of HARP-2 looking at Statins in ARDS and STASH for aneurysmal subarachnoid haemorrhage. Relax, management hasn’t changed.

Vitamin D in Critical Illness

• This page has already had a second lick of paint too – it has already been updated in light of the VITdAL-ICU study.