Week 16: Marginal gains and critical care

Things to consider

• Admission - Who? What's the correct timing? Dr Sharman's 4Rs...

• Nutrition - When? How? Monitoring?

• Gastroprotection - What's the evidence? Which drug? Interactions?

• Eye care - Who? Why? What are the risks if we don't?

• Anticoagulation - Prophylactic? Theraputic?

• Sedation and analgesia - What should we target? How do we monitor it?

• Pressure areas and tissue viability - Why are the nurses obsessed with rolling? Flowtrons and TEDS?

Admission decisions

• Which patients should be admitted to critical care (Dr Howatson)

• Recognition and management of the critically ill ward patient (Dr Bonnington)

• The 'MORAL BALANCE' of decision making (BJAEd, Drs Harvey and Gardiner)

Marginal gains

• Guide to supportive care in critical illness (IBCC)

• FAST HUGS IN BED (LITFL) and JLV's original fast hugs article

• Routine prescriptions on critical care (Dr Bonnington)

• RCT of Goal directed nutrition

• VTE prophylaxis (LITFL)

• BRIDGE and PAUSE - when to pause/continue anticoagulation perioperatively

• Oxygen targets? ICU-ROX, HOT-ICU, OXYGEN-ICU, LOCO2, IOTA

• Gastroprotection? SUP-ICU, PEPTIC, and a nice network meta-analysis

• Is dexmedetomidine the (expensive) answer to all our sedation problems? MENDS2, SPICE3, DahLIA, MIDEX-PRODEX

Have we missed something?

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