Diagnosis of hypertension involves initial clinic blood pressure measurements followed by measurements at home to confirm the diagnosis. This #BMJInfographic summarises the recommended sequence for diagnosis and management Will Stahl-Timmins ow.ly/qKwm50wSvbo

“This is not a ‘soft skill’ - this is common, and important.” Dr Eric Levi shows #RACSTA #RIC19 the alarming figures. This is why we need #culturechange

T3: In conclusion: Although the p-value maybe sig, the fragility index of 1 is notable! Non-shockable rhythm is BAD! Mortality is HIGH! Incidence of fever in the normothermia group MAY have been responsible for increased rate of unfavorable neurologic outcome. #CCJC3

T3: Data from an ANZICS core registry “the average lowest temp of post cardiac arrest pts in the 1st 24 hrs rose after publication of TTM trial; this was associated with an increased frequency of fever (12.8% vs 16.5%). In-hospital mortality increased by 0.6 % points/yr” #CCJC3

Fever post arrest is BAD. #CCMJC3

T3: Hence, one needs to be cautious when adopting the practice of higher core temperature as it may result in less precise control and possibly higher incidence of fever. #CCJC3

T3: An observational study revealed that the risk of death increases for each degree over 37 C during the first 48 hrs after cardiac arrest (OR 2.26; 95% CI 1.24-4.12). #CCJC3

T3: It’s almost the end of the hour. Wrapping up, how would #HYPERION impact your clinical practice? Any final thoughts? #CCJC3

Critical Care Journal Club This is surprising to me, I don’t usually see continued fever during the cooling period

Should you feed on vasopressors in ICU? - Keep your eyes out for live online webinar PRO/CON debate between myself & Yaseen Arabi by SCCM including our new article- “Enteral Nutrition Can Be Given to Patients on Vasopressors” #icu #nutrition #FOAMcc journals.lww.com/ccmjournal/Cit…

A management algorithm for patients with intracranial pressure monitoring. A useful resource for everyone interested in traumatic brain injury worldwide...free access at rdcu.be/bVyAW A "must read"

...Prof Paul Marik will give the editorial on Tomoko Fujii's VITAMINS trial, investigating Prof Marik's hydrocortisone, thiamine and vitamin C cocktail for septic shock. meeting details - bit.do/CCR20

KEEP-PACE published. Preintubation Ketafol was not superior to etomidate in terms of MAP change; no statistical difference in the use of new-onset vasoactive agents or difficulty of intubation between groups. #KEEPPACE Details in an upcoming tweet meet! insights.ovid.com/crossref?an=01…

Hydrocortisone Compared with Placebo in Patients with Septic Shock Satisfying the #Sepsis -3 Diagnostic Criteria and #APROCCHSS Study Inclusion Criteria:A Post Hoc Analysis of the #ADRENAL Trial: no difference in mortality, but faster resolution of #shock anesthesiology.pubs.asahq.org/article.aspx?a…

Fascinating paper by Fernando Zampieri on #ICU staffing models and outcomes: Multidisciplinary care that includes an intensivist, autonomous nursing, and #pharmacists is associated with better outcomes. rdcu.be/bV0vi SCCM Critical Care Pharmacy ACCP CRIT PRN Critical Care Journal Club

2 days of IV amoxicillin-calvulanate in patients receiving a 32-to-34°C TTM strategy after OHCA resulted in a lower incidence of early ventilator-associated pneumonia than placebo. nejm.org/doi/full/10.10…

A freshly minted attending sees a young man with seeming MSK back pain. At discharge, the pt collapses and dies from the true cause of his symptoms- aortic dissection. 13 years later the doc has not forgiven himself and still questions his competence.

Paul Sufka, MD Mahrukh S. Rizvi Alí Duarte, MD Swapnil Hiremath @hswapnil.medsky.social Ali Husain Nephrology Journal Club Critical Care Journal Club Matthew Sparks, MD

Paul Sufka, MD Mahrukh S. Rizvi Alí Duarte, MD Swapnil Hiremath @hswapnil.medsky.social Ali Husain Nephrology Journal Club Critical Care Journal Club Matthew Sparks, MD Feb 25 9pm EST, 26th 9 pm IST and GMT