CCR-Newsletter-BannerNewsletter 180  |  May 17th 2015


Welcome to the 180th Critical Care Reviews Newsletter, bringing you the best critical care research published in the past week, plus a wide range of free full text review articles, guidelines, commentaries, editorials, study critiques, correspondence and case reports from hundreds of clinical and scientific journals.

The highlight of this week's newsletter are a randomized controlled trial on restrictive versus liberal blood transfusion for acute upper gastrointestinal bleeding, an ATS guideline on managing conscientious objections in intensive care medicine (published in January, but it's taken me a while to find an OA version), and review articles on neuromonitoring of patients with severe traumatic brain injury and recent advances in the diagnosis and treatment of acute myocardial infarction.

This week's Topic of the Week is critical care syndromes - part II, starting with a paper on cardiogenic shock in tomorrow's Paper of the Day.



Due to hugely successful previous events, the Critical Care Reviews Meeting 2016 has moved to a brand new venue, the stunning, multi-million pound Titanic Centre, birthplace of RMS Titanic. As before, the meeting theme is to review the biggest studies of the previous year, with chief investigators present where possible to discuss their work in person. From Wellington, New Zealand, Dr Paul Young will talk on his studies SPLIT (saline versus plasmalyte) and HEAT (paracetamol for pyrexia control). Dr John Holcomb (Houston, USA) will review his mega trial PROPPR, evaluating blood product transfusion ratios in traumatic haemorrhage. Prof Tim Walsh (Edinburgh, Scotland) will review the ABLE study, including his ABLE UK component, evaluating age of transfused red cells, as well as RECOVER, a post-ICU rehab study. Similarly, Prof Danny McAuley (Belfast, Northern Ireland) will also review a post-ICU rehab study, the REVIVE trial. In addition, two of the most eminent intensivists in global critical care, Prof Jean-Louis Vincent (Brussels, Belgium) and Prof Luciano Gattinoni (Milan, Italy) will be on hand to discuss the significance of these findings. It won't be all study discussion, with other elements to the meeting, including the spectacularly popular "Informal Chat", taking place that evening.

If you haven't yet attended this modern, niche meeting, then put the date Friday January 29th in your diary. Both delegate and speaker feedback from previous meetings has been incredibly positive, allowing the event to grow and attract some of the biggest names in critical care. The Titanic Centre is just minutes from Belfast City Airport, with a hotel within 3 minutes walking distance, and is a 20 minute walk from the city centre, including the Cathedral Quarter, Belfast's cultural centre full of great restaurants and pubs. Further details regarding delegate rate accommodation should be available in the next week or two. Talks are given in the setting of the rebuilt famous staircase from the great ship, while both the "Informal Chat" session and dinner overlook the floodlit slipways where Titanic and Olympic were launched. With some exciting new innovations planned, this new meeting promises to delivery on its burgeoning reputation. The finalised programme won't be released until later this Autumn, but don't wait too long before registering, as numbers are capped to keep this an intimate event. It is as strong a one day programme as you could possibly find. If you think your colleagues would find this event interesting, please circulate this information - this is a not-for-profit event, run in association with the Northern Ireland Intensive Care Society.

There are just weeks to one of the biggest, and definitely the best, critical care conference in the world. The next SMACC Conference is on June 23rd to 26th, in Chicago, USA. With its informal manner and flat hierarchy, this event delivers on its promise to provide top class critical care education in a fun, modern way. Speakers are deliberately chosen for their ability to present and convey information, rather than their academic or social media status, marking this as the field leader in medical conferencing. With an emphasis on TED-like presentation styles, minimal slides and maximal social media involvement, this is the future of medical meetings. In addition to numerous world-leading academics, many active in the altruistic social media world of FOAM are there to contribute, including helping deliver a massive set of workshops the day before the main meeting begins. In the main programme,  I'll be giving a talk on kicking perioperative goals, and also debating Prof Paul Marik on the usefulness, or not, of predicting fluid responsiveness. I hope to see you there - I'll need all the support I'll can get!

The ICSI host a superb three day ESICM meeting at Dubin Castle on June 11th to 13th, focusing on every aspect of respiratory critical care. From mechanical ventilation to ARDS to heart-lung interactions, this event is ideal for anyone interested in updating their knowledge in this field, under the guidance of some of the leading names in the area. I'll be attending, so say hi if you're in Dublin.

This year's State-of-the-Art Meeting promises an exciting programme in a new dynamic format. With strong social media input, and fresh ideas from those successfully delivering free educational content through various FOAM websites and events, this conference will be very different to before. Covering every CPD requirement, and attracting the most eminent researchers from the UK and beyond, the State-of-the-Art meeting remains the biggest critical care conference in the UK. I'll be on the debate trail again, taking on two world experts in respiratory failure, Dr Eddy Fan and Prof Luciano Gattinoni.


Review Articles









CCH Journal

After almost a year of preparation, the first issue of the new genuine open access critical care journal, Critical Care Horizons is nearing publication. This is a fresh new voice in the critical care literature, offering thought-provoking, cutting-edge commentary and opinion papers, plus state-of-the-art review articles. The journal is free to publish with and free to read, opening authorship opportunity to all. The energetic editorial board consists of a deliberate mix of clinicians active in social media and world renowned academics, all driven by a desire to improve the care we offer our patients, and operate without financial gain or incentive.  If you have something interesting to say, and can say it in an engaging manner, please get in touch.

COI - I am the editor-in-chief of this new journal, but work in a voluntary capacity, as do all the editors.


I hope you find these links useful.

Until next week