The Hong Kong Society of Critical Care Medicine Position Statements

The HKSCCM Position Statement for critical care nutrition in Hong Kong

Nutrition therapy is an important yet controversial issue in critical care field. There are numerous international guidelines or publications showing different views; therefore, it is difficult to practice critical care nutrition in clinical setting. We believed that by providing appropriate and individualized nutrition therapy, patient’s outcome can be improved. A local position statement was written by the opinion of critical care physicians, intensivists and dietitians in Hong Kong after reviewing available evidence; with the aim to provide recommendations in nutrition therapy in local critical care setting and to stress the importance of appropriate nutrition therapy. The position statement consists includes recommendation on general aspect and enteral nutrition, on parenteral nutrition and nutrition for specific diseases. A flow chart (Fig. 1) is constructed to provide a pathway for implementing nutritional therapy in clinical practice. The position statement was endorsed by the Hong Kong Society of Critical Care Medicine (HKSCCM) and the Hong Kong Society of Parenteral and Enteral Nutrition (HKSPEN).

Download Full Position Statement for Critical Care nutrition in Hong Kong: Here

Download the Published Position Statement: Here

The HKSCCM Position Statement: Massive Transfusion Protocol in Trauma

Position Statement of the Hong Kong Society of Critical Care Medicine
Massive Transfusion Protocol in Trauma
Author:
Dr Chau Chin Man, Associate Consultant, Intensive Care Unit, North District Hospital, Hong Kong
On behalf of the Hong Kong Society of Critical Care Medicine
This Position Statement was endorsed by the HKSCCM Council in the 20th Council Meeting on 22nd July 2012

Early identification of the patient at risk for massive transfusion
Formula driven transfusion practice due to evolving data from military penetrating trauma, suggests improved outcomes for patients transfused in excess of 10 U of packed red cells in retrospective cohort studies.
Plasma transfusion in patients without massive transfusion was associated with a trend toward increased mortality and was also associated with an increased rate of lung injury. Additionally, transfusion of plasma to patients who do not require it raises issues of resource utilization.1

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The HKSCCM Position Statement: The Use of Hypothermia After Cardiac Arrest

Position Statement of the Hong Kong Society of Critical Care Medicine
Targeted Temperature Management After Cardiac Arrest
Author:
Dr TSAI Nga Wing Polly 
On behalf of the Hong Kong Society of Critical Care Medicine
 
This Position Statement was endorsed by the HKSCCM Council on 29 Mar 2022
Download the pdf file below
 

2000 Jan 22 - HKSCCM Position Statement: Withholding or withdrawal of life support in the Intensive Care Unit

 Date: 22 Jan 2000 by Dr Florence Yap (Chairlady) on behalf of the Hong Kong Society of Critical Care Medicine
This was a statement issued in 2000 to the Hong Kong Medical Council in response to an article in the South China Morning Post regarding withholding or withdrawal of life support in the Intensive Care Unit. For your reference. 

To: The Hong Kong Medical Council

Re. Withholding or withdrawal of life support in the Intensive Care Unit
As a group of concerned medical practitioners, we welcome the attention the Medical Council paid to the important issue of the dying process of patients in Hong Kong. However, we would like to express some concern regarding the press release (South China Morning Post, 14 January 2000) from the Medical Ethics Committee regarding the ‘sanctioning of passive euthanasia’. We would like to respectfully bring to the Council’s attention our opinion regarding four important points made in the article.

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The HKSCCM Position Statement: Prevention of Venous Thromboembolism in Intensive Care Units in Hong Kong

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Position Statement of the Hong Kong Society of Critical Care Medicine
Prevention of Venous Thromboembolism in Intensive Care Units in Hong Kong 
Dr Thomas ST LI, Prince of Wales Hospital, on behalf of the Working Group for the Prevention of Venous Thromboembolism in ICU in Hong Kong and the HKSCCM
This Position Statement was endorsed by the HKSCCM Council in the 15th Council Meeting on 20th July 2010

Prevention of venous thromboembolism (VTE) in critically ill patients has been advocated by various international guidelines (1,2). The American College of Chest Physicians guideline in 2008 suggests that all patients should be assessed for risk of VTE on admission to ICU. Most patients should receive thromboprophylaxis. For patients who are at high risk for bleeding, mechanical prophylaxis with graduated compression stocking and/ or intermittent pneumatic compression should be used until bleeding risk decreases. For patients with moderate risk for VTE (eg. medically ill patients or postoperative patients), low dose unfractionated heparin or low molecular weight heparin is recommended. For patients with high risk for VTE (following major trauma or orthopaedic surgery), low molecular weight heparin is recommended.

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The HKSCCM Position Statement: Protocol of Hyperbaric Oxygen Therapy for Critically Ill Patients in Hong Kong


Position Statement of the Hong Kong Society of Critical Care Medicine
Protocol of Hyperbaric Oxygen Therapy for Critically Ill Patients in Hong Kong
Dr YAN Wing Wa, Chairman of the Hong Kong Society of Critical Care Medicine (HKSCCM), on behalf of the HKSCCM
This Position Statement was endorsed by the HKSCCM Council in the 14th Council Meeting on 18th May 2010


Figure. The Recompression Treatment Centre at Ngong Shuen Chau, Hong Kong. For more photos, click here
Introduction

Hyperbaric oxygen (HBO) therapy is the breathing of 100% oxygen inside a treatment chamber at a pressure higher than one atmosphere absolute (1 ATA).

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The HKSCCM Position Statement: Catheter Associated Blood Stream Infection

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Position Statement of the Hong Kong Society of Critical Care Medicine

CATHETER ASSOCIATED BLOOD STREAM INFECTION
Dr CHAN Wai Ming, on behalf of the HKSCCM 
This position statement was endorsed by the HKSCCM Council in Feb 2010

Definitions
1. Central line: A vascular infusion device terminates at or close to the heart or in one of the great vessels.

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