Critical Care Practitioner
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  • Clinical Examination
    • Abdominal Examination
    • Cardiovascular Examination
    • Respiratory Examination
  • Chest X Ray
  • Respiratory System- Anatomy
    • Respiratory Physiology
    • Acid Base Balance
    • Acid Base Balance- Patient 1
    • Acid Base Balance- Patient 2
    • Acid Base Balance- Patient 3
    • Oxygen Therapy
    • Intubation
    • Tracheostomy Care
    • Chest Drains
    • Non-invasive Ventilation
  • Nutrition Guidelines
  • Reading List
  • Rapid Sequence Induction Drugs
  • Ventilation
    • Mechanical Ventilation: Why do we do it? Goals and Indications.
    • Mechanical Ventilation- Terminology
    • 6 Ways To Be Better With The Bag-Valve-Mask
    • Mechanical Ventilation Series- How lung compliance affects ventilation in volume controlled ventilation.
    • Mechanical Ventilation Series: Physiologic Goals of Mechanical Ventilation.
    • CCP Podcast 018: Mechanical Ventilation….
    • CCP Podcast 024: Mechanical Ventilation….the basics.
    • Mechanical Ventilation Series- A-a gradient.
    • Mechanical Ventilation Series- How do I describe how my patient is being ventilated?
    • Mechanical Ventilation: Physiologic effects of mechanical ventilation.
    • Mechanical Ventilation Series- Lung Compliance….
    • Mechanical Ventilation Series- Phase Variables…again…
    • Mechanical Ventilation Series- Pressure/Volume loop…..
    • Mechanical Ventilation- Anatomy of the Adult Endotracheal Tube
    • Mechanical Ventilation- Increase the Rate or the Tidal Volume?
    • Mechanical Ventilation- Modes of Ventilation I
    • Mechanical Ventilation- Modes of Ventilation II
    • Mechanical Ventilation- Peak Pressure and Plateau Pressure
    • Mechanical Ventilation- PEEP (Positive End Expiratory Pressure).
    • Mechanical Ventilation- Phase Variables.
    • Mechanical Ventilation- Phases of a breath- I:E ratio and total cycle time.
    • Mechanical Ventilation- Pressure/Volume/Flow loops
    • Mechanical Ventilation- Ventilation Screen, what do some of those numbers mean?
    • Mechanical Ventilation- Ventilation/Perfusion
  • CREAD
  • Patient Transfers
    • Patient Transfers- Pre-Transfer
    • Patient Transfer- In the ambulance.
  • Disclaimer
  • Class of 87

Lower tidal volume at initiation of mechanical ventilation may reduce progression to acute respiratory distress syndrome: a systematic review.

By Jonathan Downham On January 8, 2019 · Add Comment
Tweet In mechanically ventilated patients without ARDS at the time of endotracheal intubation, the majority of data favors lower tidal volume to reduce progression to ARDS. However, due to significant heterogeneity in the data, no definitive recommendations can be made. Further randomized controlled trials examining the role of lower tidal volumes in patients without ARDS, [...]
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Sepsis- recognition and treatment

By Jonathan Downham On December 31, 2018 · Add Comment
Tweet Lecture given by Scott Weingart on sepsis and its recognition and treatment. Link Here
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Noninvasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure.

By Jonathan Downham On December 31, 2018 · Add Comment
Tweet Noninvasive ventilation (NIV), as a weaning-facilitating strategy in predominantly chronic obstructive pulmonary disease (COPD) mechanically ventilated patients, is associated with reduced ventilator-associated pneumonia, total duration of mechanical ventilation, length of intensive care unit (ICU) and hospital stay, and mortality. However, this benefit after planned extubation in patients with acute respiratory failure of various etiologies [...]
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International evidence-based recommendations for point-of-care lung ultrasound

By Jonathan Downham On December 5, 2018 · Add Comment
Tweet This document reflects the overall results of the first consensus conference on “point of care” ultrasound. Statements were discussed and elaborated by experts who published the vast majority of papers on clinical use of lung ultrasound in the last 20 years. Recommendations were produced to guide implementation, development and standardisation of lung ultrasound in all relevant settings. Link Here…
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Choice of Fluid- John Myburgh Summary.

By Jonathan Downham On November 11, 2018 · Add Comment
Tweet Fluid resuscitation in acute medicine: what is the current situation?  Journal of internal medicine (Accepted Article) Professor John A Myburgh AO, is Director of the Division of Critical Care and Trauma at the George Institute for Global Health, Professor of Critical Care at the Faculty of Medicine, University of New South Wales and senior [...]
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Ultrasound in the septic patient – lets RUSH in!

By Jonathan Downham On November 10, 2018 · Add Comment
Tweet The RUSH Protocol was first introduced in 2006 by Weingart SD et al, and later published in 2009. It was designed to be a rapid and easy to perform US protocol (link here
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Advanced life support and mechanical ventilation

By Jonathan Downham On October 16, 2018 · Add Comment
Tweet Is there a need for active ventilation during ALS? Could we go passive? Some discussion….here
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High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome

By Jonathan Downham On June 11, 2018 · 1 Comment
Tweet In conclusion, in adults with moderate-to-severe ARDS, the early application of HFOV targeting lung recruitment — as compared with a ventilation strategy that uses low tidal volume and high PEEP and that permits HFOV only in cases of refractory hypoxemia — does not reduce mortality and may be harmful…link here
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  • A Beginners Guide to Intubation

  • Categories

    • Acid Base (3)
    • Airway (4)
    • ALS (1)
    • ARDS (2)
    • Charles Spencer (1)
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    • CREAD (22)
    • Critical Care Practitioner (3)
    • Critical Care Teacher (1)
    • ECG (1)
    • Fluids (15)
    • Gavin Denton (4)
    • Heather Baid (1)
    • ICSSOA (1)
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    • James Ducanto (2)
    • Klint Kloepping (1)
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    • Presentation (3)
    • PTSD (2)
    • Radiology (1)
    • RCN Competencies (1)
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    • Rob Fenwick (2)
    • Sepsis (24)
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    • Sleep in ITU (4)
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    • Teaching Resources (21)
    • Tom Hreben (3)
    • Trainee Diary (18)
    • Ultrasound (12)
    • Uncategorized (96)
    • Ventilation (24)
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  • Recent Posts

    • CCP Podcast 104: Post Intensive Care Syndrome in Critical Care February 26, 2019
    • CCP Podcast 103: Acute Right Heart Failure January 31, 2019
    • CCP Podcast 095: More mechanical ventilation with Thomas January 23, 2019
    • CCP Podcast 051: ICU Follow Up Clinics January 23, 2019
    • CCP Podcast 047: Advanced Critical Care Practitioners January 23, 2019
    • CCP Podcast 010: Cricoid Pressure: Do it? Do it right? Or don’t do it at all? January 23, 2019
    • CCP Podcast 029: Mechanical Ventilation…Phases of the Breath January 23, 2019
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    • Dr Eric Strong ECG and Auscultation Review
    • Dr Smith's ECG Blog
    • Life in the Fast Lane ECG Library
  • Emergency Medicine

    • ALiEM
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    • Deranged Physiology
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    • Peadiatric EM Morsels
  • Research

    • Interpreting research- YouTube
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    • Dr Eric Strong – You Tube site.
  • YouTube Videos

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    • Handwritten Tutorials
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    • Sonosite Teaching Videos
    • Statistics 101

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