Anesthesiologist (ICU), dabble in (trauma)research now and then. University Hospital of North Norway.
Interests: Outdoors, litterature, philosophy, research, intensive care medicine
General world-view: Man’s greatest advantage is their ability for cooperation. For most tasks there are more than one way to skin a cat.
To people who this reaches, and who read scientific papers, what media you use for reading those?
If you know people who could improve the results in your followers, please boost for visibility.
The previous consensus on circulatory shock and hemodynamic monitoring was brilliant. I have a talk for the residents of our ICU which is almost entirely based on this paper.
Objective Circulatory shock is a life-threatening syndrome resulting in multiorgan failure and a high mortality rate. The aim of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock. Methods The European Society of Intensive Care Medicine invited 12 experts to form a Task Force to update a previous consensus (Antonelli et al.: Intensive Care Med 33:575–590, 2007). The same five questions addressed in the earlier consensus were used as the outline for the literature search and review, with the aim of the Task Force to produce statements based on the available literature and evidence. These questions were: (1) What are the epidemiologic and pathophysiologic features of shock in the intensive care unit? (2) Should we monitor preload and fluid responsiveness in shock? (3) How and when should we monitor stroke volume or cardiac output in shock? (4) What markers of the regional and microcirculation can be monitored, and how can cellular function be assessed in shock? (5) What is the evidence for using hemodynamic monitoring to direct therapy in shock? Four types of statements were used: definition, recommendation, best practice and statement of fact. Results Forty-four statements were made. The main new statements include: (1) statements on individualizing blood pressure targets; (2) statements on the assessment and prediction of fluid responsiveness; (3) statements on the use of echocardiography and hemodynamic monitoring. Conclusions This consensus provides 44 statements that can be used at the bedside to diagnose, treat and monitor patients with shock.
For decades, we have been taught in schools and told by the media that endless economic growth is good, that it benefits everyone, and that there are no downsides. Never is any alternative discussed or even imagined. Growth, our leaders maintain, is the only way to go.
Degrowth, on the other hand, is almost never spoken of, and when it is, the concept is deliberately misrepresented by our capitalist rulers and their servants.
Fortunately, there are a few websites that honestly explain the issues and discuss the positives of degrowth. I’ll list some of them in the first comment below, but I’d also suggest watching this video — https://www.youtube.com/watch?v=Ia8u5P0KbPQ
'However journal-level metrics fail to identify up to 90% of the equally well-cited papers in the biomedical research literature, controlling for field and year of publication (4). In other words, the recall of the biomedical community’s chosen measure of meritorious papers is on the order of a dismal 10%'
Lars Mølgaard Saxhaug
Intensive Care Medicine
ananas
Romain Barthélémy
Bread and Circuses
Jona Joachim
Thiago Carvalho