Venous haemodynamics Part One

A recent tweet about ATLS 10e Shock Classification  @misraasit gave me pause for thought. The message of this now-classic table is that arterial-side blood pressure may be so well defended in haemorrage that it is a poor indicator of  proximity to irreversible shock/ death. Heart rate may be raised by

NYC tracks and some hyperosmotic albumin thoughts.

I’m flattered and rather excited to be mentioned in the NYC tracks this week; https://thinkingcriticalcare.com/2016/08/03/the-nyc-tracks-with-jon-emile-the-glycocalyx-the-next-frontier-foamed-foamcc/ Great to hear how  others are progressing on their paths to steady state Starling enlightenment. I sometimes feel like a single voice against some of the Pharma-sponsored talking heads who sparkle on the international Congress