Blog

First Part Support Tools

Todd Fraser on 13-08-2010

The CICM first part exam has been running for a few years now. Judging by the pass rates in the first couple of exams, the bar is set pretty high. The issue that this raises is...

Would Anyone Intubate this Man?

Todd Fraser on 11-08-2010

Categories: Case studies in ICU

This week's blog was sent in by Andrew Stapleton : "I am getting considerable grief from the respiratory physicians for refusing to intubate a 67 yr old man with longstanding CO...

ICU delirium - what to do?

Todd Fraser on 28-07-2010

Categories: Controversies in ICU

We're implementing a new sedation-agitation protocol in our unit. Its been a very interesting exercise in evidence based medicine. While delirium, as defined by the CAM-ICU sco...

Optimal Timing of Tracheostomy

Todd Fraser on 26-07-2010

Categories: Controversies in ICU

This week's blog was suggested by Shailesh Bihari, and relates to the timing of tracheostomy. Its clear that there is considerable variation in timing between units and indeed bet...

Pregnancy in Critical Care

Todd Fraser on 17-07-2010

Categories: Case studies in ICU

This week's pickle was a 30 year old woman who was 29 weeks pregnant. She presented with a week of viral sounding prodromal symptoms and a cough. She was having frequent contract...