My friend, Paul Marik, is a mythbuster. He has been vindicated in so many viewpoints that were initially branded as crazy. But... sometimes the weapon he chooses, in his war against perceived pseudo-axioms, is hyperbole. This was the case in a few instances in his talk from SMACC-Chicago on … [Read more...]
SMACC Debate – Rob MacSweeney vs Paul Marik – Predicting Fluid Responsiveness is a Waste of Time
Summary by: Roger HarrisRob MacSweeney and Paul Marik debate whether the assessment of fluid responsiveness in the resuscitation of patients with shock a waste of time? Both Marik and MacSweeney agree that many of the traditional methods of assessing patients volume status are flawed and of no value. Marik goes on to argue that the only clinically meaningful outcome that we … [Read more...]
Podcast 171 – OODA Loops
My keynote lecture at SMACC-Chicago was on OODA loops and the supremacy of System I for resuscitation. The lecture was plagued by AV-wankers to the point that I thought the talk was a shambles. I am rerecording the lecture here for EMCrit and the SMACC site. I hope you enjoy--SDW. The OODA LoopOODA Loops and John BoydI'm loathe to link to this, but this probably the … [Read more...]
Podcast 160 – Sepsis smaccDOWN
At smaccChicago, I had the honor to host an incredible panel of Sepsis Experts. I think most everyone who heard it was left with more questions than answers. I have already posted a preemptive response to the panel here:EMCrit Podcast Episode 154 In a few days, I will post a wee with some additional thoughts. I want to hear what you think--post your comments below. The … [Read more...]
TXA – Brohi and a Very Odd Article
One of my favorite talks from smacc-Chicago was this elegant destruction of Tranexamic Acid (TXA) doubters by Karim Brohi. Courtesy of the folks from SMACC, TXA, the denier's handbook:and then there was this almost surreal article published in one of the Blood Journals. Seemingly written by the titular deniers of Karim's talk, the authors are social media bashers as … [Read more...]