wicm 2014 icu literature essentials
DESCRIPTION
Slides used by PAul Young and Chris Nickson for the session on ICU Literature essentials at WICM 2014.TRANSCRIPT
The LITERATUREESSENTIALS…according to Paul Young & Chris Nickson
Wellington Hospital / The Alfred
What liesAHEAD
TheBOTTOM
LINE
YOU must say what YOU would
do
and state WHY
… YOU must know the key
EVIDENCE that informs ICU
practice
Don’tWORRY
If YOU have done enough time…
and paid enough ATTENTION…
YOU already know most of what
YOU need to know
TheGOOD NEWS
YOU do not actually need to
read (all) the literature!
YOU do not need to cite references…
YOU do need to know the
main findings of key studies
& the implications
How toPREPARE
KEEP UP-TO-DATE
Go to your journal club!CriticalCareReviews.com
CritIQ Literature SummariesIntensive Care MonitorGordon Doig’s EBM site
The LITFL Review*
Learn & perform
CRITICAL APPRAISALS
TALK TO PEOPLE
about the literature
THE ESSENTIALSANZICS CTG Publications
CCR Top 100 / DICM Hit ParadePast exam questionsLITFL CCC Literature
Summaries*CritIQ Literature Summaries
International guidelines
Trials from theANZICS CTG
Low dose dopamine SAFE NICE-SUGAR
RENAL MERIT PROTECT CHEST
EARLY PNhttp://www.anzics.com.au/ctg/ctg-publications
ANZICS CTG Trials
IN PROGRESS
ADRENAL TRANSFUSE EPO-TBI POLAR BLING-2
PHARLAP HEAT SUDDICU SPLIT
ARISE TARGET TEAM SPICE
http://www.anzics.com.au/ctg/current-research
Important
GUIDELINES
SURVIVING SEPSIS GUIDELINES
BRAIN TRAUMA FOUNDATION (BTF)
GUIDELINES
Barr et al, CCM 2013
Pain, Agitation and Delirium Guideline
ANZICS Central Line Insertion and
Maintenance Guideline (2012)
ILCOR Guidelines
CONSORT Checklistfor internal validity
YOUfor external validity
Know what the BIG
JOURNALShave to say
NEJMJAMA
LancetCritical Care & Resuscitation
What about2013?
Rob Mac Sweeney to the rescue!
http://lifeinthefastlane.com/mac-sweeneys-top-ten-critical-care-papers-2013/http://lifeinthefastlane.com/mac-sweeneys-best-guidelines-commentaries-and-reviews-2013/
http://lifeinthefastlane.com/mac-sweeneys-best-rest-2013/
The HotSTORIES
TTM EGDT ARDS Glucose Control Fluids Sedation Transfusion
OtherSTORIES
Steroids in Sepsis Steroids in ARDS
PACs RRT Dopamine APC SDD IABP
Nutrition Cardiac arrest drugs ECMO TXA Tracheostomy
Timing
TheEND