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Coda Change

Feb 28, 2017

All biomarkers are awesome predictors of badness. Elevated hS-troponins after non-cardiac surgery or an acute exacerbation of COPD are associated with increased mortality. In seemingly healthy people elevated D-dimer levels are associated with increased mortality, just like NT-proBNP levels predict mortality in...


Feb 26, 2017

Chris Hicks delves in to how to optimise performance in a team environment in emergency medicine and critical care. When teams fail and fall apart, we are quick to analyse the performance. We pick it apart and see what went wrong, and why. Chris suggests that we should do the same thing for over-performing teams. We...


Feb 22, 2017

Adrian Plunkett describes how to learn from excellence in critical care. Learning from excellence is an initiative which began at Birmingham Children’s Hospital.  Firstly, Adrian shares an anecdote regarding how the initiative begun. He sent a letter to the CEO of a hospital appreciating one of the doctors who...


Feb 21, 2017

Jo Anna Leuck discusses fatigue in critical care.

Is there a specific time during our shift when we are too fatigued to safely practice?

That was the question that led to Jo Anna’s research project comparing the clinical performance of providers during the first hour of a day shift and the final hour of a string of...


Feb 20, 2017

Karin Amrein talks about the challenges for women working in the critical care world.

Incredibly, despite female prevalence, Critical Care is considered a man’s world.

We've all heard the notion, “big boys with big toys.” The false assumption is that men are more interested in the latest equipment and technology....