ESICM Talk

What has changed in the 2025 ESICM guidelines on circulatory shock and haemodynamic monitoring, and what does it mean for clinical practice?
In this podcast, our guest, Dr Antonio Messina, Chair of the CD Section, discusses the key updates in the new guidelines and explores practical approaches to assessing tissue perfusion and haemodynamic status, including the role of capillary refill time, peripheral perfusion, and combined biological and macrocirculatory parameters.
The discussion also explores fluid responsiveness assessment and its role in guiding fluid therapy in patients with circulatory shock.
These are just some of the topics discussed, with many more practical insights and recommendations from the 2025 guidelines explored throughout the podcast.
Listen to the latest ESICM Podcast and discover what is new in the 2025 guidelines.

How do you optimise drug dosing in a critically ill patient undergoing continuous renal replacement therapy (CRRT)? Drug dosing during CRRT can be challenging, with multiple factors influencing drug clearance and exposure.
In the latest ESICM Podcast, experienced clinical pharmacists explore the key determinants of drug clearance during CRRT, focusing on the interplay between the patient, the drug and the CRRT circuit.
The discussion highlights how drug characteristics, such as volume of distribution, and CRRT-related factors can influence drug removal and dosing, and why a personalised approach is essential to optimise treatment in critically ill patients.
Listen to the latest ESICM Podcast and discover what determines drug clearance during RRT.

This year, ESICM is proud to mark World Sepsis Day with a special podcast, "From Awareness to Action," featuring ESICM President Jan De Waele in conversation with Krista Bracke, sepsis survivor and advocate behind the initiative Sepsis Stronger Together. Together, they discuss what survival really costs, where the gaps between evidence and practice remain, what the new 2026 SSC Guidelines mean for the bedside, and how the clinical and patient communities can work together to drive meaningful change — from education and workforce investment to European policy and national sepsis plans.

Why should every ICU clinician be prepared to recognise heat stroke?
In this podcast, we explore the importance of early recognition and treatment of heat stroke, from the emergency department to the ICU. Discover how rapid intervention can dramatically improve outcomes, with survival rates of up to 80% when treatment is initiated early.
We also discuss the key clinical signs to look out for—including neurological symptoms such as ataxia—and the challenges of recognising multi-organ dysfunction and the overlap between heat stroke and sepsis. Listen to the podcast and discover the key messages every ICU clinician should know when managing this time-critical emergency.

Whole blood has made a remarkable comeback in trauma care—but is it here to stay? In this thought-provoking podcast, leading experts unpack the latest evidence comparing whole blood with component therapy in the pre-hospital setting, challenge current practices, and explore what the future may hold. From military experience to civilian emergency care, discover how research is reshaping transfusion strategies and what it means for the care of critically injured patients.
Do not miss this educational podcast; listen to our expert and learn from the best!