Critical Care Practitioner

Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
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As I Learn, You Learn Too

  1. 9. Apr.

    Arterial Lines: Do we always need them. A chat with Tom (Duracell Bunny)

    Tom, one of my colleagues from the Critical Care Outreach Team and I discuss this paper and its findings reaching our own conclusions. Deferring Arterial Catheterisation in Patients with Septic Shock. The post Arterial Lines: Do we always need them. A chat with Tom (Duracell Bunny) appeared first on Critical Care Practitioner.

    37 Min.

  2. 13. Jan.

    Decompensated Alcohol Related Liver Disease Part 2

    We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulation, and renal hypoperfusion.Although these patients look fluid overloaded, they are effectively hypovolaemic. Start with small aliquots of balanced crystalloid, avoiding 0.9% saline. In hepatorenal syndrome or tense ascites, 20% albumin is […] The post Decompensated Alcohol Related Liver Disease Part 2 appeared first on Critical Care Practitioner.

    14 Min.

  3. 8. Jan.

    Decompensated Alcohol Related Liver Disease

    In this episode, I walk through the real-world critical care management of acute decompensated alcohol-related liver disease, using a high-risk ICU case to anchor the discussion. The focus is on understanding the underlying physiology—portal hypertension, rebalanced haemostasis, hepatic encephalopathy, infection, and hepatorenal syndrome—and translating that physiology into clear first-hour priorities at the bedside.  Listeners are […] The post Decompensated Alcohol Related Liver Disease appeared first on Critical Care Practitioner.

    14 Min.

  4. 13.11.2025

    Non Invasive Ventilation

    This episode offers a structured, bedside-focused exploration of Non-Invasive Ventilation (NIV) for acute hypercapnic respiratory failure in COPD, aligned with NICE NG115 and BTS/ICS 2016 guidance. Aimed at early-career critical care nurses, it breaks the topic down into physiology, practical setup, monitoring, and escalation.Key Topics CoveredMechanisms behind acute-on-chronic hypercapnic respiratory failure in COPD.How NIV improves […] The post Non Invasive Ventilation appeared first on Critical Care Practitioner.

    15 Min.

  5. 31.10.2025

    HHS (Hyperosmolar Hyperglycaemic State)

    HHS (Hyperosmolar Hyperglycaemic State) is the quiet counterpart to DKA. It develops slowly in older type 2 diabetics with residual insulin, leading to extreme hyperglycaemia and dehydration without ketosis. In this 2-hour deep dive, Jonathan explains why HHS kills through water loss and hyperviscosity rather than acid, and how to manage it safely.Key Learning Points:·         Pathophysiology: Relative […] The post HHS (Hyperosmolar Hyperglycaemic State) appeared first on Critical Care Practitioner.

    32 Min.

  6. 24.10.2025

    DKA- Fluids, Potassium and Insulin

    The post DKA- Fluids, Potassium and Insulin appeared first on Critical Care Practitioner.

    23 Min.

  7. 13.10.2025

    Hypophosphatemia in Critical Care

    Summary:In this episode, we spotlight a stealthy ICU disruptor — hypophosphataemia. Based on a 2024 narrative review in the Journal of Clinical Medicine, we explore why phosphate matters, how it goes missing in critically ill patients, and why you should care even when it’s just “a little low.”What’s Covered:The vital role of phosphate in energy, […] The post Hypophosphatemia in Critical Care appeared first on Critical Care Practitioner.

    6 Min.

  8. 01.10.2025

    DKA in Critical Care

    The post DKA in Critical Care appeared first on Critical Care Practitioner.

    9 Min.
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As I Learn, You Learn Too

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  • Erstellt von
    Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
  • Jahre aktiv
    2014 - 2026
  • Folgen
    205
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    © Copyright: Critical Care Practitioner 2014
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    Critical Care Practitioner

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