Critical Care Ultrasound Handbook

For those at the bedside this book may come in handy , also the BLUE protocol on lung ultrasound is well explained

 CAC Book from the Fluid Academy website

Back to the Drawing Board on ARDS

Prone positioning in severe ARDS now debated: some feel it can be more harmful than beneficial - has the pendulum swung? If so, there is no particular therapy left for ARDS - discussions at @ISICEM - #ISICEM19

— Jean-Louis Vincent (@jlvincen) March 6, 2019

I suspect with further studies we will see regression to the mean ....and proning likely may improve oxygenation but not mortality , similar as we saw in the ARDS Network with higher Tidal Volumes : improved oxygenation with higher tidal volumes but over time a higher mortality 

The Troponin Leak During Sepsis

Practitioners may be able to influence the risk of postinfection myocardial infarction if they remain mindful of the increased risk of myocardial infarction during and after acute infections and if they do not dismiss elevated troponin levels as “troponin leak.” Among patients with acute infection who have clinical indications for statins and aspirin, these medications should be continued (if the patient is already receiving them) or may be initiated if no contraindications are present.

Published in NEJM