The second day of the conference started in the NEXT lounge with a feisty debate between Mervyn Singer and Jean-Louis Vincent – entitled “Rewriting the rules time and time again – Why syndromes are not diseases” but quickly unravelled to a lively debate with the audience asking these giants of ICU what on earth they should do know treatments are debunked and definitions changing and guidelines expanding. Lots of fun and a positive vibe in the end – I think the summary is as #merv says, do what makes sense!
What does too much fluid mean?
The ebullient intensivists battle it out#LIVES2016 pic.twitter.com/1IreWxoEEx— Jamie Strachan (@strachanjamie) October 4, 2016
Great q from audience
So many trials
How do we know when to change practice?#Merv makes flaky analogy to washing powder (sorry)#LIVES2016— Jamie Strachan (@strachanjamie) October 4, 2016
Weaning patient on pressure support spont breathing with big tidal volumes is OK by me says @jlvincen – don't worry#LIVES2016
— Jamie Strachan (@strachanjamie) October 4, 2016
CVP is no use ? Then what should we use? ITS NOT SO EASY TO RAISE THE LEGS (jlv volume CAPITALS)
Do what makes sense says #Merv #LIVES2016— Jamie Strachan (@strachanjamie) October 4, 2016
Have experts done wrong thing in prescriptive bundles? Good Q frm audience@jlvincen has never liked 'bundles' but guidelines OK#LIVES2016
— Jamie Strachan (@strachanjamie) October 4, 2016
#merv vs @jlvincen #LIVES2016 pic.twitter.com/HrVkkWWvcH
— Jamie Strachan (@strachanjamie) October 4, 2016
NO DONT GIVE STEROIDS FOR BLOOD PRESSURE says/shouts @jlvincen
He predicts anzics trial will be "negative"! @icuresearch #LIVES2016
— Jamie Strachan (@strachanjamie) October 4, 2016
What do you think of big data?#merv -retrospective data that generates hypotheses to study@jlvincen -use all available sources BD just one
— Jamie Strachan (@strachanjamie) October 4, 2016
#Merv says @ICNARC and folk like @DavidHarrison80 can use data to ask great questions#LIVES2016
— Jamie Strachan (@strachanjamie) October 4, 2016
Don't throw scv02 out with EGDT says @jlvincen #LIVES2016
— Jamie Strachan (@strachanjamie) October 4, 2016
Sepsis 3 is a definition
It doesn't tell anyone how to treat a patient says #Merv
Guidelines are just. a. guide.! #LIVES2016— Jamie Strachan (@strachanjamie) October 4, 2016
#JLV on definitions “Sepsis is organ dysfunction associated with infection and it will be the same in 2000 years.“ #LIVES2016
— David Anderson (@expensivecare) October 4, 2016
We can't throw antibiotics at everyone -Unit in New York where colistin is first line!
SIRS needed making more specific #merv#LIVES2016— Jamie Strachan (@strachanjamie) October 4, 2016
I can’t seem to get Mervyn Singer on “the twitter” but I’ve given him the hashtag #merv! – Chris Nickson had some ideas…
I think the @sexgod handle might be free!
— Chris Nickson (@precordialthump) October 3, 2016