CICM online journal access

The College has finally gotten around to reinstating online access to important critical care journals. While the College was a joint faculty, members had access to the ANZCA online library, including relevant journals. This was a great resource, which provided access to journals which could not be accessed through CIAP.

The CICM has started to build its own online journal library, which members can now access though the members login portal. Hopefully this currently limited stock will be expanded and possibly also include important critical care textbooks. As such, we should do our bit by accessing these journals through the College portal in order to encourage the College to develop this useful resource.

Updated CICM Fellowship study notes

Three of the CIC Fellowship study notes have been updated:

Biostatistics (in the Statistics folder, under Core ICU) - New information on metanalysis heterogeneity tests.
Ventilator associated pneumonia (in the Ventilation folder, under Core ICU) - New metanalysis in support of selective oral decontamination for the prevention of VAP.
Imporatant trials - A new file, summarising key critical care trials in short, point form. Found in the CICM Notes folder.

Happy reading!

CoTM November 2011 - Answers

The answers for the November Case of the Month have been published. Remember to log in first to access the case.

We had hoped to use the Cases of the Month to stimulate some discussion on the Forum, but this does not appear to have worked. So from now on, to satisfy you instant gratification types, answers will be published at the same time as the questions. You are still welcome to post comments at the end of the case, or debate answers on the Forum.

The next case is coming soon. Good luck

Something to think about

This is something we've brought up before, earlier this year. Jobs may be scarce, training may be difficult and invasive and there may be colleagues or patients at work who we don't get along with, but read these articles and then re-evaluate your position. While we can't promise the articles are unbiased, they should still be of concern. Comments are welcome

"Bahrain jails 20 doctors after democracy protests"

"Bahrain doctors await the call that will send them to prison"

"Attacks on Doctors in Bahrain"

"Bahraini doctors speak out against torture"

"Support Bahrain’s imprisoned doctors" - BMJ editorial article

ICN Discussion forum

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PROWESS of Xigris gets SHOCKed

PROWESS-SHOCK is a trial that was initiated in 2008, re-examining the role of Drotrecogin-Alpha (Xigris) in sepsis. There has been a lot of focus on its potential for increasing the incidence of minor and significant bleeding events, but one of the major problems with it had always been that many of the septic patients that you would have considered using it for, often failed to get past the list of contraindications. The PROWESS-SHOCK investigators (of whom, one Simon Finfer is a member of the steering committee) studied a group of just under 1700 patients with septic shock, randomising half to receive a placebo and the other half to receive Drotrecogin-Alpha, as per the original protocol. The trial was completed this year.

Case of the Month - November 2011

Jan Kelly has been creating a monster.

Having watched the General FCICM candidates prowl around the site, downloading files and occasionally chipping in comments or questions underneath articles or in the discussion forum, she has thrown down the Paediatric Gauntlet - to paed and general intensivists alike.

It has taken some time to breathe life into her creature, but the magic of Halloween (All Hallows Eve, to those in the know), has allowed it to rise and shamble unerringly towards you. Log in and take the challenge if you dare! (Insert echoing laughter here).

If you are not an ICN member, you will need to register for access first.

Are you waiting for ICN access?

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At present, we have 43 people who have registered for access to this site, from as far back as last March. The same 43 people have not as yet confirmed their details by responding to an e-mail that was sent out to them within a few days of registering. If you think you are one of those 43 people, don't give up; either check your e-mail account for a message from us and respond to it, or re-register. We're sorry for leaving you feel unloved, but just send us an e-mail and we'll try to make things right

2010 guidelines for thoracic aortic disease

In March of 2010, the ACCF (formerly the ACC) and AHA, in co-operation of a number of other colleges and specialist groups, released guideline recomendations for the management of thoracic aortic disease. They are similar in structure and function to the Acute Coronary Syndrome guidelines, with a strong emphasis of evidence base and justifiable classes of recommendation. Matthew Mac Partlin has written a summary of the guidelines, which can be downloaded or reviewed here, in the Cardiothoracic subsection of the Surgical folder in the CICM Fellowship study notes.

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CICM Fellowship October 2011

Good luck to all the general and paediatric fellowship candidates who are sitting the exam this week. Let us know how you get on.

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Podcast #6: ESICM Conference 2011 Days 2 & 3

Here is the second Podcast from the ESICM meeting in Berlin earlier this month. This covers material from the 2nd and 3rd days of the conference, with lots of links to the material discussed, lots of free articles and a video.

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Podcast #5: ESICM Conference 2011 Day 1

If you didn't get the chance to go to the European Society of Intensive Care Medicine meeting in Berlin last week, listen to this Podcast live from Berlin giving a report on some of the presentations from the first day.

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Welcome to the Intensive Care Network

CICM online journal access

Updated CICM Fellowship study notes

CoTM November 2011 - Answers

Something to think about

PROWESS of Xigris gets SHOCKed

Case of the Month - November 2011

Are you waiting for ICN access?

2010 guidelines for thoracic aortic disease

CICM Fellowship October 2011

Podcast #6: ESICM Conference 2011 Days 2 & 3

Podcast #5: ESICM Conference 2011 Day 1

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