So a few weeks ago Scott (@EmCrit) asked me to be part of a pretty cool webinar organized by the Greater New York Hospital Association about fluids in sepsis. The gang consisted of David Gaiesky, Emmanuel Rivers and moderated by Scott himself. And for some obscure reason, he asked me to be part of it – much to my honour (terror, also), naturally. It was only afterwards that he told me it was to help stir the pot and be controversial, challenge the “old school” etc… He seemed to have overlooked that I am Canadian, and inherently and perhaps overly polite and considerate – at least live and in “person”!
We talk about a bunch of stuff around fluids, which, how much, how to assess, etc.
Anyhow, I hope I got a few ideas across, but it was really cool to hear that these gurus do use ultrasound – don’t necessarily strictly adhere to, for instance, EGDT, and also advocate that guidelines are guidelines and not necessarily gold standards.
Here is the link to the webinar for those interested:
And here is the figure for the section where I refer to fluid responsiveness/tolerance:
I further talk about this in a previous post here.
Scott and I also recorded a debrief which should be coming up in the next weeks on EmCrit – link to follow!
cheers!
Philippe
thinking critical care 