Care bundles
- Junior doctors schooled in FASTHUGS
- Supported by checklist on ICU observation chart
- VTE – heparin BD preferred (consider TDS in morbidly obese)
- SUP in intubated patients – ranitidine (either IV or NGT) with low threshold to cease if enteral feeding in place. PPIs used if previously on them or have GIT bleeding.
- Beware prescription by junior doctors of SUP in non-ventilated patient