This is a four-page document outlining key considerations in the history taking, investigation and management of critically ill patients surrounding the time of discussion with the HDU/ICU team.
THIS IS A WORK IN PROGRESS - FEEL FREE TO CONTACT AND CONTRIBUTE!
1. It's a teaching & learning tool, rather than a document where people actually sit down and fill it in
2. It is intended to provide a structure/framework for thought processes around referrals to HDU/ICU
WHAT THIS IS RESOURCE IS NOT
These documents are NOT guidelines or policies and have not been ratified/tested for clinical use.
These documents do not replace the need for:
Seeking help immediately, if required
Clinical judgement and assessment
Discussing patient's with the patient's consultant (on-call)
'Referral algorithms' are a tricky business - which is why, this is not one - it's a learning resource, and not a clinical guideline or mandate. Documents and checklists should not prevent you from seeking skilled help early. The documents do suggest things you should be mindful of, in sick patients.
It is impossible to predict every eventuality - but many of these principles are ubiquitous to all referrals.
With thanks given to Dr. Jonny Wilkinson, Dr. Adrian Wong and Dr Segun Olusanya for their thoughts on this project, as well as to everyone who has already commented on Twitter.
Hover over the infograph below and you will see four slides of content you can peruse through.
PDF Download Available here.
Some interesting trials are promised in 2018.
Here are some of the more interesting ones (mostly SR's) that sprang up over January 2018...
As always, these are to provoke discussion on twitter, rather than me or anyone else giving a definitive 'what do I think' on them. Head on over to the websites mentioned at the bottom of the infographic to see some excellent commentaries on other trials. Particularly www.thebottomline.org.uk
ADRENAL was launched at Critical Care Reviews in January 2018.
The rest that I have featured are systematic reviews.
Many thanks to all publishers, authors and researchers who endeavour to make their research free to access to the #FOAMed community.
LINKS TO THE STUDIES/SR's
GLYCAEMIC CONTROL IN TBI
INTUBATION IN THE CRITICALLY ILL
PROPOFOL FOR SLEEP IN ADULT ICU PATIENTS
CLICK HERE TO SEE THIS FULL-SCREEN
USE OF THIS WEBSITE IS SUBJECT TO AGREEING TO THIS DISCLAIMER