Generalisability analyses of the CICM Second Part examination: Theory meets practice In response to: The CICM second part viva reliability coefficient: Which index, for which decision, against which benchmark? The conversation continues! www.sciencedirect.com/science/arti...

“Catalyst - critical ideas in action” is happening in Melbourne 23 July 2026. Early bird registrations is closing at midnight today. Spots still available for advanced ECMO but FBI is sold out. web.cvent.com/event/5028ae...

Airway foreign bodies | LITFL CCC #foamed #foamcc litfl.com/airway-forei...

Airway Foreign Bodies

Airway foreign bodies (AFBs): Causes/risk factors, pathophysiology, complications, clinical features, investigations, and management.

litfl.com

Alfred ICU’s Brooke Riley presents a short, sharp overview of recent cardiac arrest guideline updates (video) | INTENSIVE #foamed #foamcc intensiveblog.com/cardiac-arre...

Cardiac arrest guidelines update at the CARDIAC symposium - INTENSIVE

Brooke Riley, Intensivist and ECMO Consultant at the Alfred ICU, delivers a succinct and informative update based on the 2024 ILCOR-ESICM cardiac arrest guidelines.

intensiveblog.com

New to ICU? This is for you… Intro to tracheostomy emergencies | INTENSIVE #foamed #foamcc intensiveblog.com/introduction...

Introduction to Tracheostomy Emergencies - INTENSIVE

Authors: Chris Nickson and Lloyd Roberts

intensiveblog.com

Once again, for those at the back, the effort to refute bulls*t is 10x that required to produce it. Can we please stop doing high dose Vit C trials in critical care now?

Antibiotic Steward 🅱️C🆔🅿️🌟@absteward.bsky.social · 4mo ago

High-Dose Vitamin C in Burns Time to Stop 🆕🔥🟢VICTORY RCT High-dose intravenous vitamin C did not reduce mortality and organ dysfunction and may be associated with harm in patients with severe burn injury #EMIMCC jamanetwork.com/journals/jam...

Among patients who were unresponsive after cardiac arrest, conservative oxygen therapy did not increase 180-day survival with favorable function as compared with liberal oxygen therapy. Full LOGICAL trial results: https://nej.md/4x7TavY #CCR26 | @criticalcarereviews.com

Sacha Richardson -prehospital ECMO lead at the Alfred Hospital - discusses the rationale for prehospital ECPR at the CARDIAC symposium 2026 #foamed #foamcc #foamecmo intensiveblog.com/prehospital-...

Prehospital ECPR - do we need it? - INTENSIVE

intensiveblog.com

Hugh Burrill, one of our prehospital ECPR survivors, and his wife Meridee shared their experience at the recent CARDIAC symposium. You can watch the video here: intensiveblog.com/surviving-an... It is a rare and valuable insight into the patient experience. #foamed #foamecmo #foamcc

Great work by @precordialthump.bsky.social et al on the reliability of the CICM exam www.sciencedirect.com/science/arti... Lots of questions about SMITHSEx remains @drnavsidhu.bsky.social

The reliability of the College of Intensive Care Medicine of Australia and New Zealand viva examination

Examinations used to credential trainees for independent specialist practice in intensive care medicine should be evaluated to demonstrate their level…

sciencedirect.com

If only all prehospital ECPR had commentary by Sacha Richardson - great demo by the Alfred / ambulance victoria team! #FOAMed #FOAMcc #FOAMecmo intensiveblog.com/prehospital-...

Prehospital ECPR at the CARDIAC Symposium 2026 - INTENSIVE

intensiveblog.com

“Catalyst - critical ideas in action” is happening in Melbourne 23 July 2026. Early bird registrations is closing at midnight today. Spots still available for advanced ECMO but FBI is sold out. web.cvent.com/event/5028ae...

Great work led by Dr Ken Hoffman on the CICM second part exam vivas www.sciencedirect.com/science/arti...

RSI: Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults – The Bottom Line #foamed #foamcc www.thebottomline.org.uk/summaries/ic...

RSI: Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults

Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults Casey. NEJM. 2025. doi: 10.1056/NEJMoa2511420 Clinical Question Among adults with non‑traumatic critical illness undergoing emerg...

thebottomline.org.uk

Etomidate • LITFL Critical Care Compendium #foamed #foamcc Comprehensive overview of etomidate pharmacology for critical care clinicians including implications from the RSI trial litfl.com/etomidate/

Etomidate

Pharmacology of etomidate (Critical Care Compendium entry)

litfl.com

Pity they massively overdosed the ketamine arm - significant percentage > 2mg/kg / no ceiling dose ("rule of 1 ampoule") / dose per total body weight / and who gives > 0.5 mg/kg to a "sick" patient - great trial / wrong pharmacology / wrong conclusion = drugs are equivalent at equipotent doses

The Worlds Best Intensive Care Meeting is up and running - Critical Care Reviews Down Under - triallist, editorialist, statistician, expert panel - an hour - not 10 mins - and that is the outside behind them - Naarm (Melbourne)

a little girl with blonde hair is making a funny face while sitting in a car seat .

ALT: a little girl with blonde hair is making a funny face while sitting in a car seat .

media.tenor.com

Intensive Care Medicine Journal@intenscaremed.bsky.social · 10mo ago

Low-dose norepinephrine at extubation appears safe in obese and non-obese ICU patients, challenging the practice of delaying weaning until all vasopressors are stopped. zurl.co/8nE3A

Co-Chief Investigators Jonathan Casey and Matthew Semler share their insights from the #RSI trial after presenting at #CCRdownunder Livestream -> www.criticalcarereviews.com @jama.com

In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results: nej.md/44EOlxB @criticalcarereviews.com

Chief Investigator Arthur Kwizera shares an overview of the #ARISEAFRICA trial after presenting at #CCRdownunder and highlights what clinicians can take away from the results. Livestream -> www.criticalcarereviews.com @jama.com

Co-Chief Investigators Brenda O'Neill and Danny McAuley share the results of the #iRehab trial after presenting at #CCRdownunder Livestream -> www.criticalcarereviews.com @jama.com

#ARISEAFRICAtrial is a stepped wedge cluster- this design is useful for interventions delivered at the ICU/hospital level and individual randomisation is difficult. Clusters transition from control to intervention at different times www.bmj.com/content/350/... #ccrdownunder @criticalcarereviews.com

The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting

#### Summary points

bmj.com

RSI trial now starting ➡️ Etomidate vs Ketamine for RSI ➡️ Jonathan Casey & Matthew Semler presenting ➡️ Chris Nickson editorialising ➡️ Join the livestream - criticalcarereviews.com #ccrdownunder

Congratulations to the RSI trial team #CCRdownunder

NEJM.org@nejm.org · 10mo ago

In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results: nej.md/44EOlxB @criticalcarereviews.com

Wow wow wow Beautiful trial. Nice editorial. Worth watching if you intubate patients.

Critical Care Reviews@criticalcarereviews.com · 10mo ago

RSI trial now starting ➡️ Etomidate vs Ketamine for RSI ➡️ Jonathan Casey & Matthew Semler presenting ➡️ Chris Nickson editorialising ➡️ Join the livestream - criticalcarereviews.com #ccrdownunder

Editorial by JAMA Senior Editor Derek Angus: The ImmunoSep RCT demonstrates the feasibility of biomarker-guided treatment, while highlighting ongoing challenges in immune classification and broader clinical application. #CCRdownunder ja.ma/3Kg3qz3

Second at #ccrdownunder - #IREHABtrial Post your questions at #ccrdownunder and #IREHABtrial or at the livestream: criticalcarereviews.com

Precision Therapy for Sepsis: The End of the Beginning? | Critical Care Medicine | JAMA | JAMA Network #ccrdownunder 2025 jamanetwork.com/journals/jam...

Precision Therapy for Sepsis

Sepsis is a macabre dance between host and pathogen.1 With development of germ theory by Lister, Semmelweis, Pasteur, and Koch, pathogen eradication was the focus. Only in recent decades, with observa...

jamanetwork.com

RCT: Among patients with #sepsis, a precision immunotherapy strategy targeting macrophage activation-like syndrome and sepsis-induced immunoparalysis improved organ dysfunction by day 9 compared to placebo.#CCRdownunder ja.ma/3MkSb95