Newsletter 193 / August 23rd 2015


Welcome to the 193rd Critical Care Reviews Newsletter, bring 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 highlights of this week's newsletter are the STITCH (Trauma) trial, investigating early surgery in traumatic brain haemorrhage, meta analyses on enteral glutamine supplementation in critically ill patients and statin therapy in critically-ill patients with severe sepsis, observational studies on fluid balance following initial resuscitation in septic shock and in subarachnoid hemorrhage, as well as a series of four review articles from the Lancet Diabetes & Endocrinology, on endocrine and metabolic considerations in critically ill patients. If you ony have time for one review paper this week, try this one on the effects of hyperoxia during critical illness, from Critical Care.


I'm delighted to announce the Critical Care Reviews Meeting will commence an annual John Hinds Trauma Lecture, in memory of our colleague Dr John Hinds who tragically died last month. The inaugural talk will be given by John's good friend Dr Brian Burns, Assistant Professor of Emergency Medicine, University of Sydney and Research Director, Sydney HEMS, Australia. The title of his lecture is "Trauma Care - Back to the Future". This will be preceded by a memorial talk. The near finalised version of the programme is available on the meeting webpage. With Dr John Holcomb from Texas also speaking, this will provide an excellent opportunity to meet some world class trauma experts. In addition, both Dr Paul Young's exciting trials, SPLIT and HEAT, will be presented at one of the most prestigious sessions in the critical care calendar, the ESICM Hot Topics Session in Berlin in October, again making #CCR16 as up-to-date a meeting as you could attend.

To mark this inaugural lecture, this week's Topic of the Week is Helicopter Emergency Medical Services, starting with a paper on aeromedical transfer of the critically ill patient in tomorrow's Paper of the Day.




Review Articles














I'm delighted to announce the Critical Care Reviews Meeting 2016 will hold the inaugural John Hinds Trauma Lecture, given by John's good friend Dr Brian Burns, from Sydney HEMS. This hopefully annual lecture will further John's legacy of improving trauma care worldwide. As with all the talks at the meeting, this will also be recorded and made freely available online. This Lecture will also be preceded by a memorial talk on Dr John Hinds. The final programme should be released next week, but the meeting webpage contains a good overview of the day. Complementing the website and newsletter, the meeting theme is to discuss the biggest critical care studies of the year, with the chief investigators for these studies present.

Due to hugely successful previous events, the meeting has moved to a brand new venue, the stunning, multi-million pound Titanic Centre, birthplace of RMS Titanic,  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.

Under the inspired guidance of meeting organiser Ganesh Suntharalingam, this year's State-of-the-Art Meeting promises an exciting programme in a new dynamic format.  It aims to be the first major national society to fully embrace social media and free open access medical education, with an opening plenary session and a workshop, as well full integration of Twitter questions into sessions, live blogging, and open-access AV materials. 

State-of-the-Art is the biggest critical care meeting in the UK, and it's on the move: by combining the resources and influence of the ICS, with a radical redesign and the input of a whole new committee, including several from the FOAMed world, such as Steve Mathieu (The Bottom Line), Jonathan Downham (Critical Care Practitioner), and me. The result should be something unique. It's also the only meeting of this size where the delegates get to steer how the meeting evolves, so have your say.

Take a look at the website or the flyer. The meeting is at London ExCeL, 20 minutes from the West End

CCH Journal

Critical Care Horizons 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 an idea for a paper, and can say it in an engaging manner, please get in touch. We also need peer reviewers.

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