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!

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Register by clicking below!

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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!!

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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.

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Should we use GCS…should we??!

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

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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!

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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!

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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!

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SVT, AVNRT…what the AF!??

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

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Aannd…!

They also did one on refractory VT too:

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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…

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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!

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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?!

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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:

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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..

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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!

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

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CT…or die?!

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

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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.

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Modes of ventilation explained…

More great work from Jon Downham here.

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Mind maps…the way forward!

You have to take a look at these! They re a brilliant aide memoire for everyone, whether exam prep or not! Great work!

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Beyond weaning…chronic critical illness!

Something we forget, long-term weaners, but there is also chronic critical illness!

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Some great EM cases!

Hyperkalaemia!

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Hot under the collar!

Thanks to EMBasic for these notes on hyperthermia and it’s immediate management.

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More quality #POCUS…CO measurement (with an awful cheesy track too)!

Don’t miss the AKI!!

Here is a brilliant section on AKI from the EMDocs.

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Some great EM stuff…podcasterama!

Good chats on qSOFA, the elderly and much more here.

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The research is wrong…or so Louise Cullen says!

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The BVM is Bread & Butter! Surely?!

The BVM is absolute bread & butter for all, especially anaesthetists. But do we do it properly…read on and perhaps feel the blood rush to your face!

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Fab POCUS – click the pics!

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Get your AV in view

Make a POCUS phantom!

 

That’s all for now…hope to see you all at #14thCCS.

JW