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There is a new definition of ARDS. June 4, 2012

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A panel of experts came together in Berlin last year and worked to make  an ARDS definition that was more specific.  ALI no longer exists.  Now there is mild, moderate and severe ARDS defined by the PF ratios.

The ARDS Conceptual Model. The panel agreed that ARDS is a type of acute dif- fuse, inflammatory lung injury, lead- ing to increased pulmonary vascular permeability,increasedlungweight,and loss of aerated lung tissue. The clini- cal hallmarks are hypoxemia and bilat- eral radiographic opacities, associated with increased venous admixture, in- creased physiological dead space, and decreased lung compliance. The mor- phologicalhallmarkoftheacutephase is diffuse alveolar damage (ie, edema, inflammation, hyaline membrane, or hemorrhage).29


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jama.2012.Berlin ARDS

Critical risk factors for immediate complications-Intubation in the I.C.U. June 3, 2012

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Tracheal intubation (TI) is a routine procedure in the intensive care unit (ICU), and is often life saving. However, life-threatening complications occur in a significant proportion of procedures, making TI perhaps one the most common but underappreciated airway emergencies in the ICU. In contrast to the controlled conditions in the operating room (OR), the unstable physiologic state of critically ill patients along with underevaluation of the airways and suboptimal response to pre-oxygenation are the major factors for the high incidence of life-threatening complications like severe hypoxaemia and cardiovascular collapse in the ICU.


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Tracheal intubation in the ICU- Life saving or life threatening?”

Resus Me Website and referance June 3, 2012

Posted by admin in : Education/Studies , comments closed

As described by author:

Resus.ME exists to help you keep up to date in all aspects of life-saving medicine, from acute medicine and paediatrics, to emergency and critical care medicine, and even pre-hospital care!

I believe we have a responsibility to stay at the cutting edge of resuscitation, and I want to share what I learn. No more relying on what you learned in Advanced Life Support Courses! This is for the specialist in resuscitation.

I scan over 40 journals as well as sources of national and international guidelines so I don’t miss out on what I need to know to save lives!

There’s no guarantee I’ll pick up everything but I’ll do my best not to miss the big stuff. There is inevitably a bias towards the things that interest me: refuting dogma and going beyond basic guidelines. I do not critically appraise all articles quoted and cannot attest to the validity of the findings reported. I endeavour to blog several articles per week but I do work full time in clinical practice in pre-hospital and retrieval medicine and emergency medicine and restrict the blogging to my own time. Any opinions expressed are entirely my own and do not reflect those of my employers. No non-consented identifiable patient details are ever posted.

Enjoy the updates which I offer as a free service to colleagues who are co-combatants in the war against critical illness and injury!



NAP4: Audit Pack June 3, 2012

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Original audit pack sent to NHS hospitals participating in the 4th National Audit Project (NAP4): Major complications of airway management in the United Kingdom


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VGH Critical Care Grand Rounds March 16, 2012 March 21, 2012

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VGH Critical Care Grand Rounds March 16, 2012 from Ana Palomino / Julia Cheung on Vimeo.


“What a Respiratory Educator Should Know About Spirometry” – Dr. Brian Graham – March 6, 2012

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Tuesday, Mar 27th, 2012

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Poster and more info:


2012 CSRT Education Conference and Trade Show February 17, 2012

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May 31st to June 2, 2012
Westin Bayshore Hotel
Vancouver, BC



May 31st to June 2, 2012 Westin Bayshore Hotel Vancouver, BC


Preliminary_Program Guide

COPD: The Case for Building the Capacity of Pulmonary Rehabilitation January 2, 2012

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Alberta Breathes is a coalition of agencies and over 500 individuals working to improve lung health and decrease the burden of respiratory disease in Alberta.

Utilizing their existing resources such as CRE’s, the aim is partially to get funding for these skilled individuals and to improve the access to pulmonary rehab programs.

B.C. is in the same situation with the hospitals cutting back as opposed to providing funding for these programs. The health authorities have little vision and and cannot look at the “big” picture to the management of these patients.

Pharmaceutical companies are actively involved now with surprising little bias to help fill the needs. Obviously it would be optimal if the BC government and health authorities to step up to the management of COPD and Asthma, but very, very, little has been done.








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