CASE PRESENTATION AND DISCUSSION: DOUBLE SEQUENTIAL DEFIBRILLATION FOR REFRACTORY VENTRICULAR FIBRILLATION (NEJM 2022) (CCC-201)

Saturday, October 28, 2023

15:34 – 15:40 EST

Location: Palais, 520A-F

Target Audience: Critical care practitioners, Community cardiologists, Trainee (clinical)

Presenter(s)

Thomas M. Roston MD PhD, FRCPC

Genetic & Critical Care Cardiologist
Univ British Columbia
University of British Columbia
Rebecca Mathew, MD FRCPC

Critical Care Cardiologist
University of Ottawa Heart Institute
University of Ottawa Heart Institute

Disclosure(s):

Sean van Diepen, MD, MSc: No financial relationships to disclose

Craig Ainsworth, MD FRCPC: No financial relationships to disclose

Eitan Aziza, MD, FRCPC: No financial relationships to disclose

Andrew Caddell, MD, MSc, FRCPC: No financial relationships to disclose

Andrea L. Daly: No financial relationships to disclose

Erin Rayner-Hartley, MD, FRCPC: No financial relationships to disclose

Jordan H. Hutson: No financial relationships to disclose

Thomas M. Roston, FRCPC: No financial relationships to disclose

Phyllis Billia, MD, PhD, FRCPC: No relevant disclosure to display

Maude Peretz-Larochelle, MDCM, FRCPC: No financial relationships to disclose

Rebecca Mathew, MD FRCPC: No financial relationships to disclose

Gurmeet Singh, MD, MSc, FRCSC: No relevant disclosure to display

Learning Objectives / Objectifs d'apprentissage:

At the end of this session participants will be able to / Au terme de cette conférence, vous serez:

evaluate whether hydrocortisone should be routinely used in critically ill patients with pneumonia;
identify the strength and limitations of a trial examining whether early mobilization improves survival and ventilator free days in patients receiving mechanical ventilation;
critically appraise whether high protein feeds should be used in critically ill patients;
evaluate if double sequential defibrillation should be incorporated into clinical practice for refractory VF; and
incorporate the results of the ECMO-CS and ELCS shock trials into your care of patients with cardiogenic shock.

Workshop Description: In a fast-paced presentation workshop format, 5 trainees (or junior attendings in their first year of clinical practice) will be paired with 5 practicing intensivists to review the top 5 ICU trials published in the last year. Each trainee will present a brief 1.5-minute Cardiovascular Intensive Care Unit (CICU) case that highlights the potential impact of the major ICU clinical trial on CICU practice. The senior cardiac intensivists will provide a brief overview of the trial and discuss the applicability of the trial to CICU patient care. Both the junior and senior faculty will participate in the audience question and answer period.