Whether you think you can or you think you can’t, you’re right. -Henry Ford Introduction Previously, the concept of using performance enhancing psychological skills (PEPS) to improve cognitive and technical skills during resuscitation has been introduced1. This set of skills is represented by the acronym BTSF, which stands for breath, talk, see, and focus. […]
In 2011 Cooper et al published the DECRA trial examining the use of decompressive craniectomy in patients with traumatic brain injuries (TBI) and elevated intracranial hypertension refractory to medical management (1). Shockingly what was until then thought of as a lifesaving procedure was found to be inferior to conservative medical management. Many have discredited the […]
Until recently I believed that prolonged vasopressor administration requires a central line, to avoid extravasation. I lumped together all vasopressors, treating them all as equal. I used the occurrence of an extravasation reaction from one vasopressor as evidence that all vasopressors could cause extravasation reactions (the fallacy of inappropriate generalization). Upon closer examination, these beliefs aren't supported by evidence.
Some theories are so attractive that they are nearly irresistible. No matter how many times they are disproven, these theories still seem compelling. One example is double-coverage for pseudomonas. Recently, the IDSA recommended this for ventilator-associated PNA (VAP), despite openly admitting that RCTs found it to be ineffective.