@tonyrostron.bsky.social
Clinical Senior Lecturer and Honorary Consultant in Intensive Care Medicine. Occasional anaesthetist. YNWA.
#VisualAbstract A 7-day course of hydrocortisone in severe community-acquired pneumonia was unlikely to reduce 90-day mortality and may pose potential harm, despite a possible reduction in shock duration. zurl.co/Z9lKj
25.07.2025 16:00 β π 0 π 1 π¬ 0 π 0
Conservative Oxygen Therapy With Mechanical Ventilation
jamanetwork.com/journals/jam...
Figure 2. Oxygen Exposure and Arterial Oxygenation by Treatment Group in Patients With Enhanced Data Collection
Conservative oxygen therapy with a target SpO2 of 90% did not reduce 90-day all-cause mortality compared to usual oxygen therapy in mechanically ventilated adult patients.
#CCR25 @criticalcarereviews.com
https://ja.ma/4kG5gWK
Our @ICNARC CMP data shows our demographic is not very ethnically diverse. >97% white.
29.06.2025 13:37 β π 0 π 0 π¬ 0 π 0
Today's Paper of the Day is:
Interhospital Transfer of Patients With Acute Pulmonary Embolism
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
New report out today!
A review of the quality of rehabilitation care after an ICU admission: ncepod.org.uk/2025icur.html @Davido744 @BACCNUK @ICS_updates
@theRCOT @thecsp @BDA_Dietitians @rcgp
@RCSLT @FICMNews
@ICUsteps @UKCCNA
@RCoANews @GeriSoc @hqip.bsky.social
Heading over to #CCR25, hoping that my plane isnβt delayed and I also catch the ICC-CTN meeting tomorrow.
09.06.2025 20:34 β π 3 π 0 π¬ 0 π 0
Editorial: Rapid sequence induction: a modern-day example of Theseus' Paradox?
Stept and Safar described βrapid induction/intubationβ in 1970.
PUMA recently issued a consensus statement on RSI.
Let's compare.
@sthjournalclub.bsky.social
#AnSky #AirwaySky
doi.org/10.1111/anae...
Hypernatremia of critical illness
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Effect of Ventilator Mode on Ventilator-Free Days in Critically Ill Adults: A Randomized Clinical Trial
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Please consider responding to this important survey following on from publication of the ADAPT-Sepsis trial
jamanetwork.com/journals/jam...
#IDsky #Medsky #ICUsky #Ansky π§ͺ
π New Episode of Clinical ConversationsποΈ
Pre-hospital sedation carries serious ethical and clinical risks. In this episode of Clinical Conversations, @expensivecare.bsky.social and I explore why itβs risky and how to make it safer.
#Paramedicine #PreHospitalCare #EmergencyMedicine #Sedation #EMS
Today's Paper of the Day is:
Use of Inotropic Agents in Advanced Heart Failure
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
This video from NEJM Evidence explores the basis for non-inferiority trials, the meaning of non-inferiority margins, and the interpretation of a non-inferiority trialβs results.
Check out our Stats, STAT! playlist on YouTube to explore more statistical concepts: youtube.com/playlist?lis...
#MedSky
There may still be time for Northumbria to recruit to the MARCH trial, although I think they are hoping to complete recruitment fairly soon.
12.02.2025 16:12 β π 1 π 0 π¬ 0 π 0
Managing Immune Checkpoint Inhibitor Pneumonitis in the ICU
CCR Journal Watch
criticalcarereviews.com/latest-evide...
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...
Today's Paper of the Day is diagnosis and management of alcohol-associated hepatitis
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Today's Paper of the Day is acute kidney injury in patients with cirrhosis
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Acute Onset of Impaired Consciousness
CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at https://criticalcarereviews.com/newsletters/subscribe
It feels like the use of oseltamivir is strongly adhering to Brandolini's law.
08.01.2025 11:05 β π 0 π 0 π¬ 0 π 0
Human albumin for adults with sepsis: An updated systematic review and meta-analysis of randomized controlled trials
CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch
Today's Paper of the Day is the role of peripheral perfusion markers and lactate in septic shock resuscitation
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
How I Do It: Interpreting Clinical Trial Results
An excellent rubric for understanding and interpreting randomized clinical trials in #journal_CHESTCritCare: hubs.la/Q030pjgL0
#JournalCHEST
And the NHS actually spends less on things we consider βwasteβ, like admin and managers, than many other nations.
The NHS may indeed be inefficient β but it is not βbloatedβ. Rather, it is inefficient because it is run too lean.
More in my column π www.thetimes.com/article/1130...
Today's Paper of the Day is medication management in the critically ill patient with AKI
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
Dexterity assessment of hospital workers
"Surgeons showed greater dexterity, but higher levels of swearing compared with other hospital staff roles, while nurses and non-clinical staff showed the highest rates of audible noises of frustration."
www.bmj.com/content/387/...
RCOG Green-top Guideline No. 64:
Identification and management of maternal sepsis during and following pregnancy.
Detailed discussion, including importance of
- always considering sepsis
- early escalation, senior input
- IV antibiotics within 1 hr
www.rcog.org.uk/guidance/bro...
Every. Single. Word. Of. This.
From Prof. @alisonleary1.bsky.social. Worth a read for all those wondering why retention of NHS staff and therefore their proficiency is so important in the pursuit of productivity and safety.
Thanks Nick. Our motivation was to address a tight brief from the public funded, government run UK research sector, with mandated 3 arm rct including standard care and one of each, daily pct or crp discontinuation protocols. We wanted to add more quality to the evidence and, of course, MA in time.
11.12.2024 17:26 β π 2 π 1 π¬ 1 π 0
