Resuscitation Team Leader
The roles and priorities in a cardiac arrest situation is dependent on: the environment where arrest takes place; the nature of the cardiac arrest, ; and the skill mix of the people in the immediate environment
Immediate Post-ROSC Management
A team-based approach to the management of the post-ROSC patient focuses on initiation of therapeutic hypothermia, treatment of the underlying cause with transfer to the cath lab where appropriate, and management of the post-cardiac arrest syndrome.
Deresuscitation and Positive Fluid Balance
Deresuscitation specifically refers to 'Late Goal Directed Fluid Removal (LGFR)', which involves "aggressive and active fluid removal by means of diuretics and renal replacement therapy with net ultrafiltration" (Malbrain et al, 2014)
Glycocalyx in Critical Illness
The endothelial glycocalyx (EG) is a thin proteinaceous layer previously thought to be inert, that is now thought to play a key role in vascular integrity and function. The glycocalyx has potential as a novel therapeutic target
Systolic pressure variation
Systolic Pressure Variation and Stroke Volume Variation between spontaneous breathing and mechanical ventilation
Inotropes, vasopressors and other vasoactive agents
Vasoactive agents include the following: inotropes; vasopressors; inodilators and some that don't fit like dopamine...
Chronic Graft Versus Host Disease
Chronic Graft vs Host Disease is organ dysfunction occurring > 100 days post transplantation; distinct clinical syndrome from acute GVHD; pathophysiology poorly understood
Encephalitis
Encephalitis an acute encephalopathy due to an inflammatory cause
Underlying causes are numerous and may be infectious or non-infectious, many of which lack effective therapies
Stroke Thrombolysis
Stroke Thrombolysis: thrombolysis for acute ischaemic stroke is a controversial intervention; it is supported by a number of guidelines and in general is viewed favourably by the neurological community
Parotid swelling DDx
Parotid swelling or enlargement can be unilateral or bilateral, suggesting different underlying causes.
Best Case/Worst Case – a communication tool
“Best Case/Worst Case” is a communication tool to help doctors explain to patients and their families what different treatment options really mean.
Confounding and Confounders
Confounding involves error in the interpretation of what may be an accurate measurement by attributing it to the wrong cause. A confounder is a factor that is prognostically linked to the outcome of interest and is unevenly distributed between the study groups