Books, Journals, Updates
Marino's the ICU Book, 5eCall Number: WB 108 M18 2025
Principles and Practice of Mechanical VentilationThe definitive guide to the use of mechanical ventilation in critically ill patients - now in full color and updated to reflect the latest advances
- Critical Care Reviewsfree collection of critical care studies and guidelines; includes summaries and links to full-text (where available)
- The Bottom Line" a compendium of all the landmark papers which are shaping the way we manage our critically ill patients. Each paper has been summarised and critiqued using a standard template and ends with a 'bottom line' paragraph to allow a quick reminder of the key point"
Recent Trials in Critical Care
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- Guidelines Search on Critical Care Reviewsmay be more European in focus
Sepsis
C.diff.
- IDSA/SHEA 2018metronidazole's out. PO vanco first line
- Interesting study from JAMA Surgery 2018finding that undetectable eosinophil count associated with WORSE outcome including in-hospital mortality with OR 2.01-2.26
- ATLAS scorepredicts response to therapy
Fungal Infections
- ACP Hospitalist SummaryLink requires sign in to ACP
Influenza
- IDSA Influenza 2019low threshold to treat | low threshold to test | don't rely on rapid screening | critically ill patients need upper and lower respiratory track samples | Oseltamivir preferred; IV Peramivir alternative
Parkinson's Disease in the hospital
Pneumonia
- IDSA/ATA CAP 2019criteria for severe vs nonsevere CAP. | HCAP concept still dead | start Abx regardless of procalcitonin | sputum culture all inpatient empirically treated for MRSA/Pseudomonas | Aspiration pneumonia - no need to add gut anaerobic coverage unless suspect lung abscess or empyema; coverage of oral anaerobes suffice -i.e. most beta-lactams | no steroids for nonsevere CAP, consider in refractory septic shock
- IDSA HAP VAP 20167 day treatment for HAP or VAP, regardless of bug | less emphasis on double coverage for Pseudomonas | VAP - get semi-quantitative endotracheal aspirate preferred over more invasive BAL
- Procalcitonin Guide
Stroke / TIA
- ABCD score for TIAEstimates the risk of stroke after a suspected transient ischemic attack (TIA)
Syncope
- San Francisco Syncope RulePredicts risk for serious outcomes at 7 days in patients presenting with syncope or near-syncope