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.


  • 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.

CCC 700 6

Critical Care


Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of three amazing children.

On Twitter, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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