The Critical Care Commute Podcast

Steroids, Fluids, Interleukins, COVID 19 and lots of Professorial Wisdom with Prof. John Myburgh

Feb 10, 2026
Prof. John Myburgh, critical care researcher and clinician at the George Institute known for large randomized trials, joins to discuss steroids in shock and the hunt for genomic endotypes guiding precision therapy. He also covers interleukin-7 strategies for leukopenic sepsis, evolving fluid therapy (including DKA trials), and the story behind Queensland’s COVID vaccine.
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ANECDOTE

Graduation Ceremony And Legacy

  • John Myburgh described attending the college graduation ceremony as uplifting and a reminder of legacy in medicine.
  • He reflected on working with long-term collaborators and celebrating new leaders like Naomi Hammond.
INSIGHT

Genomic Endotypes Predict Steroid Response

  • A genomic endotype approach found two sepsis subgroups with different steroid responses.
  • Future adaptive platform trials will use point-of-care genetic tests to target corticosteroid therapy.
ADVICE

Design Trials To Target Patient Subgroups

  • Design trials to identify a priori which patient subgroups benefit or are harmed by interventions.
  • Use targeted, cellular-level selection rather than broad mortality-only endpoints when testing treatments.
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