Sorry for the lapse!

I just wanted to promote what I see as one of the best forthcoming meetings in Antwerp (November 2017). The International Fluid Academy meeting! This 3 day meeting promises to fill your eager brains with masses of the latest evidence, key pearls and key discussion points from a wealth of high-end speakers. Click the links below (or the link in our courses section) to take a look at the site and explore / sign up. See you there in November!

On to the main blog!

Here is a really brief overview of what I considered to be some of the best out there on #FOAMed and #POCUS over the last 48hours alone!!

More to come and coming soon, my blog from the 14th Critical Care Symposium – Manchester #14thCCS.

Enjoy!

Get rid of that pesky CO2!!

Have a look at another of Jon Downham’s blog pieces on this. Well worth a read and nice table of trial in’s and out’s too.

ST elevation…MI or mis-behaviour??!

Have a look at another fantastic blog from Dr Smith! Brilliant echo images and serial ECG’s with a twist.

Should we use GCS…should we??!

Here, the good old GCS is briefly discussed. Just for Trauma…take a look!

Snort to get rid of that nausea!!

Take a look at this paper looking at inhalation of a compound that in excess (saturday night fever!), causes nausea. But up the nose, may receive it. Interesting. We have tried ethyl chloride for intractable hiccoughs, now this! I can see rolled up alcowipes being put up a lot of noses in recovery…although not validated in this subset!

Plough in the Amiodarone…watch the liver!

We all use it as first port of call for most ITU arrhythmias these days (speaking for myself that is!). But watch the consequences!

Severe acidosis..how low can you go!

An excellent and memorable talk from Jon Ilicki well worth a listen to on post arrest pH and what you may have NOT done before!

SVT, AVNRT…what the AF!??

Have a look at this nice piece from Sarah Brusker on the myths of ‘SVT’.

Aannd…!

They also did one on refractory VT too:

He’s been at it again!!

Here is Dave Lyness’s take on CXR interpretation. He has built a compendium of fabulous stuff, particularly geared to the FRCA. Well done!

Another Troponin…how many do we need?!

This seems like a pretty relevent test to do…problem is, do we send it off for all we see as ‘High risk’, whether that be major case or CPEX derived?? Answers on a postcard please…

Another cracker from the crew at USOW!!

Take a look at this episode. Again, brilliant images demonstrating the usefulness and power of #POCUS in the diagnosis and management of patients! Have a look and test yourself without revealing the PEARLS!

Ketorolac…the ‘Special K’, of NSAID’s??

There has been a lot going on out there looking at the efficacy and reliability of various NSAID’s and Ketorolac is the Ketamine of NSAID’s it seems…or does it?!

An amazing site…not for sore eyes though!

I would like to point out this site. A lot of work has gone into this and their tutorials are fabulous!

Take a look see…here’s their bit on pleural effusion:

We may have mentioned this before…but REVERT to convert!

The modified Valsalva seems to now be the possible key to better vagal manoeuvre success..

POCUS…not too hard though, there are rib fractures!

Another use for #POCUS where what you can’t see traditionally hits you, well, in the ribs!

You’ve got the tube down…but don’t relax yet! AH SHITE!

CT…or die?!

Do you or don’t you need to do a CT brain before performing diagnostic LP?? The debate unfolds here.

So he does the best presentations!

Well…possibly. Listening to him certainly highlighted I certainly didn’t…until now! Have a look at Ross’s fabulous talk below. Thanks for coming to us at NGH last week Ross.