The age of patients with TBI is increasing, especially in high income countries, and the median age of patients admitted to the ICU has doubled over the last three decades. Age is clearly a strong outcome predictor in TBI. However, the perception of a universally poor outcome has sometimes led to therapeutic nihilism and less aggressive treatment for older patients. The bleak outcomes that result from this approach reinforce self-fulfilling prophecies of poor prognosis and current prejudices. However, uniform nihilism is unjustified: when older patients are treated in a timely and appropriate manner, favourable outcomes can be achieved in a substantial proportion of patients. However, the high burden of prior comorbidity, pre-injury therapies (such as anticoagulant and antiplatelet therapy), and reduced physiological reserve, not only affect outcome, but modulate physiology and host response, and hence demand changes in management strategies.
Not all Brains are the Same by David Menon
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SMACCForce: Bariatric Panel Discussion
Phoebe Adams, , 2017, SMACCForce 2017, The Talks DASsmacc, Bariatric, 0
SMACCForce: Bariatric Panel Discussion with Mark Forrest, Jason Van Der Velde, Phil Keating, Cameron O’Leary
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Making Complex Problems Simple
Phoebe Adams, , 2017, The Talks DASsmacc, psychological, Resuscitation, 0
Resuscitation is complicated, but the solutions don’t have to be. These are the psychological hacks that will help you...
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Guts or Gadgets?… Prayers or Protocol?… Training or Tricks? by MJ Slabbert
Phoebe Adams, , The Talks DASsmacc, decision making, emergency medicine, 0
Numbers people, give me the NUMBERS! We need CONCRETE data points and percentages…! Go, buy another “ping” machine to...
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Diagnosing critical neuromuscular disease – physical exam findings, ancillary tests
Phoebe Adams, , 2017, The Talks DASsmacc, Neurology; Resuscitation; Emergency Medicine; Neuromuscular; Respiratory Failure; Physical Exam; Neurocritical Care, 0
Neuromuscular diseases are common and include chronic autoimmune disorders such as myasthenia gravis, acute demyelinating disorders like Guillain Barre,...
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How to Fail… Part Two by Martin Bromiley
Phoebe Adams, , The Talks DASsmacc, Failure, 0
Failure is something even the very best regularly experience, in safety critical roles that failure can lead to death...
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CRITICAL ILLNESS… HEROES, VICTIMS, VICTORS, SURVIVORS?
Phoebe Adams, , The Talks DASsmacc, 0
Chair: Liz Crowe Panel: Carol Hodgson, Margaret Herridge, James Piercy, Martin Bromiley, Rob Rogers, David Menon Critcal care is...
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The Future of Out-Of-Hospital Cardiac Arrest
Phoebe Adams, , The Talks DASsmacc, Individualized Skilled Resuscitation Academy, 0
There is a huge variation in our outcomes for cardiac arrest patients. Measuring your results makes it possible for...
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Hardcore EM: EBM – Papers of the year
Phoebe Adams, , The Talks DASsmacc, Hardcore EM, 0
Hardcore EM: EBM – Papers of the year by Justin Morgenstern