George Walker

A #registrystudy showed that less than half of planned post-elective surgery #ICUadmissions were #resourceintensive bjanaesthesia.org/article/S0007-…

Interested in how we can better optimise resource utilisation and patient safety for planned ICU admissions following elective surgery? This analysis by @hgmwalker89 and 𝗔𝗡𝗭𝗜𝗖𝗦 𝗖𝗢𝗥𝗘 of 75,000 patients shows which cohorts may be at increased risk of high resource intensity admissions. 𝗥𝗲𝗮𝗱 𝗶𝘁 𝗵𝗲𝗿𝗲: bjanaesthesia.org/article/S0007-…

This analysis of 75,000 patients shows which cohorts may be at increased risk of high resource intensity admissions. Read it here: authors.elsevier.com/a/1mCHC1dCDyfST @IntensiveDave @bja @anzics CORE

Interested in how we can better optimise resource utilisation and patient safety for planned ICU admissions following elective surgery?

@BaiardoMartina @YukiKotani5 Thank you. Think it’s time to assess the effect in patients with lower GFR?

@hgmwalker89 @YukiKotani5 Difficult choice when residual renal function is so limited. In case you want to give AA, for sure I would reduce the duration of infusion, probably no longer than 24h

Patient with Stage V CKD, makes good volume of urine. For on-pump urgent CABG. Thoughts on AA infusion? Extrapolating evidence as excluded in protection trial, and likely poor renal functional reserve, or low risk and has potential to help. @BaiardoMartina @YukiKotani5

1/Do radiologists sound like they are speaking a different language when they talk about MRI? T1 shortening what? T2 prolongation who? Here’s a translation w/an introductory thread to MRI.

Q: How useful are mandated research projects in specialty medical training? A: Not very. Our qualitative study of 7 medical colleges shows positive experiences rely on luck rather than intentionally structured learning. Why are we still doing this? #MedEd bmcmededuc.biomedcentral.com/articles/10.11…

Day 1 Plenary 2 at the ANZICS Safety & Quality Conference 2024 Plenary 2 focused on sepsis, starting with a keynote from @jones_daza, Co-Deputy Director at Austin Health, followed by insightful talks from Steve McGloughlin, Director of ICU at Alfred Health, and concluding with Tina Xu, Deputy Director at Canberra Hospital, alongside Mary Nourse, ICU Research and Data Manager at ACT Health. The session also highlighted exciting new research, including: - George Walker on trends in Rapid Response Team activations, - Naomi Keith on wound management in the ICU, and - Younga Kim from South Korea, presenting a deep learning-based system for predicting invasive mechanical ventilation in critically ill children. A powerful session showcasing groundbreaking research! #SQ2024 #Sepsis #CriticalCare #HealthcareInnovation

Challenging dogma is important, especially when considering costs and associated environmental impact (see pubmed.ncbi.nlm.nih.gov/38537225/). I’ll look forward to the @WICSBottomLine review.

O2 in VA #ECMO @EXCELoutcomes registry-embedded 🇦🇺 @BLENDER_RCT 🎯conservative vs liberal O2 strategy 🔍 300 pts 🔎 conservative: similar short & long-term outcomes vs liberal ⚠️ conservative: NO more major hypoxic complications, more protocol deviations 🔓rdcu.be/dRwvq

Volunteer to be a Practice Exam Quizmaster! Our CICM Online Education Program are on the lookout for enthusiastic volunteers to take on the role of Quizmasters for our online practice VIVAs to help prepare candidates for upcoming exam sittings. Sign up: loom.ly/_GKIAic

@bryan_reidy I found this resource that enables a pretty deep dive if you’re interested, unfortunately some are behind a paywall. tuowang.rbind.io/blog/2021-01-1…

This seems to be the original description of the win ratio method. pubmed.ncbi.nlm.nih.gov/21900289/ #ccr24

Anyone have a good explainer on win ratio as an outcome/reporting measure? #CCR24

@YukiKotani5 @Crit_Care @ISICEM @CritCareReviews Thank you @YukiKotani5. I hope you found it interesting. @intensiveblog @StVincentsMelb

Composite outcomes in critical care RCTs Trials using a composite endpoint enrolled fewer patients (409 vs. 584). The use of a composite endpoint was not associated with an increased probability of statistical significance (19.7% vs 17.8%). 🔓rdcu.be/dJoAH

Can’t wait to attend in person ⁦@CritCareReviews⁩ criticalcarereviews.com/meetings/ccr-d…

ECPR evidence – a historical journey - INTENSIVE “Everything ECMO” on the history of ECPR evidence with questions for future research #foamecmo #foamcc #foamed intensiveblog.com/ecpr-evidence-…

Are you a Trainee planning to sit your Second Part Exam? Join our OEP Written Exam Prep on 19 Feb! ✍️ It will cover the topics of: 📌Written Exams: How/What/Why 📌What worked for me? Successful exam candidate’s perspective 📌Panel Discussion Register➡️ portal.cicm.org.au/events/written…

Critical Care Reviews... Down Under! • LITFL Hard not to get excited about this - Rob Mac Sweeney is bringing the ⁦@CritCareReviews⁩ meeting to Melbourne, Dec 10th & 11th 2024. Don’t miss out… Register your EOI to attend! litfl.com/critical-care-…

🚨 Prehospital ECPR is feasible in an Australian setting. 🚨 50 mins from emergency call to ECMO support, with promising survival. Proud to have been part of this innovative collaboration between @AmbulanceVic & @AlfredHealth. Open access in @SJTREM: sjtrem.biomedcentral.com/articles/10.11…