CCP Podcast 014: How Much Fluid?

 November 10

by Jonathan Downham

I made contact with Dr Segun Olunsanya via Twitter to discuss some of the issues around the fluid management of the sick patient. He in turn persuaded a couple of others involved in ITU. This has led to this fascinating discussion around this issue and it is one of the podcasts I am most pleased with. I have tried to include a lot of the links to the papers and sites we discuss below. A great conversation and very useful. I am hoping to be able to repeat this type of discussion again. This weeks TED talk from NPR radio that I want to send you to is one by Margaret Heffernan called "Dare to Disagree" in which she tells the story of Dr Alice Stewart a physician who found a link between cancer and X Rays. This is also about discovering the truth and acting upon it. Well worth listening to. Margaret has also written a book called "Wilfull Blindness" JICS cast- Great podcast Segun is involved with. Shoemaker 1988 ICMUK Website- Justin Mandevilles site Jones article on Lacate Clearance See also Rivers Trial on this web site Also read about the debate about whether lactate clearance is a valid parameter. EMCRITS view on the above WikiJournalClub- Rivers Trial Paul Mariks assertion that Lactate clearance is flawed LITFL- EGDT EMCRIT- Podcast 54- Dr Rivers on Severe Sepsis ARISE- summary Surviving Sepsis Guideline 2012 Critical Care Practitioner summary of Sepsis Guidelines [table id=1 /] [Stitcher_Radio_Logo] [get_in_touch_with_jonathan] [123-contact-form i882618]

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