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The traditional Thai Herbal Compress is a heated muslin parcel of aromatic herbs and spices used for centuries throughout Thailand to relieve tired and weary bodies and minds. The traditional Thai Herbal Compress massage is very similar to the Thai Massage style; however, it includes the use of a steamed bag of medicinal Thai herbs. The heat from the compress carries the herbal essences and essential oils deep into the skin, underlying tissues and organs. Brings about a deep sensation of comfort and warmth whilst stimulating the body to detoxify and heal itself.

Dr. John Marshall is a Professor of Surgery at the University of Toronto, and a Trauma Surgeon and Intensivist at St. Michael’s Hospital in Toronto, Canada.  His academic interests are sepsis, trauma, and the innate immune response.  His laboratory studies the cellular mechanisms that prolong neutrophil survival in critical illness by preventing neutrophil programmed cell death, or apoptosis.  Professor Marshall has an active clinical research interest in sepsis and Intensive Care Unit-acquired infection, and in the design of clinical trials and outcome measures.  He has published 315 manuscripts, and 80 book chapters, and is the editor of 2 books.  He is the founding chair of the International Forum of Acute Care Trialists (InFACT) – a global network of investigator-led critical care clinical research groups, Secretary-General of the World Federation of Societies of Intensive and Critical Care Medicine, and vice-chair of the International Severe Acute Respiratory Infections Consortium.  He is past-chair of the International Sepsis Forum, past-President of the Surgical Infection Society, and past-chair of the Canadian Critical Care Trials Group.  He has given invited lectures at more than 460 meetings around the world, and is a member of the editorial boards of seven journals.

I can’t help but compare this protocol to the VSE (vasopressin+steroids+epinephrine) protocol in cardiac arrest. The VSE  protocol was subjected to a randomized controlled trial in 2009 and again in 2013 . The effects of VSE were dramatic. Patients who developed post-resuscitation shock in the VSE group had a 30% chance of survival to discharge compared to 0% in the control group. The rate of survival with good neurological outcome was tripled. Results of this quality are unheard of in patients who experience cardiac arrest. The VSE protocol was given IIb recommendation in the 2015 ACLS guidelines . VSE has everything that the vitamin C + steroid protocol has – cheap drugs, dramatic effect, low risk of side effects. PLUS VSE has two RCTs. Yet VSE is not widely adopted.

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I can’t help but compare this protocol to the VSE (vasopressin+steroids+epinephrine) protocol in cardiac arrest. The VSE  protocol was subjected to a randomized controlled trial in 2009 and again in 2013 . The effects of VSE were dramatic. Patients who developed post-resuscitation shock in the VSE group had a 30% chance of survival to discharge compared to 0% in the control group. The rate of survival with good neurological outcome was tripled. Results of this quality are unheard of in patients who experience cardiac arrest. The VSE protocol was given IIb recommendation in the 2015 ACLS guidelines . VSE has everything that the vitamin C + steroid protocol has – cheap drugs, dramatic effect, low risk of side effects. PLUS VSE has two RCTs. Yet VSE is not widely adopted.

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