Best of #FOAMed #FOAMcc #POCUS finds – December (1)


We got access to some amazing stuff!

We are chuffed to announce that Dr ‘Best Notes Ever’ (Aoife Abbey), has joined us and we are lucky to be able to share her amazing infographic, hand-written notes on CCN. Look at her site here and our section on her stuff here:

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And while we’re here, here is her version of the PROSEVA trial

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We got to drive in the fast lane!

We made LITFL 310 this week with our review of SOA 2017. Always a real privilege. Thank you to them again.

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The fluid bundle goes from strength-to-strength

Our Trust has embraced IV fluid prescription safety and produced the screensaver below, as well as provided our bundle for download.

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Click to download your copy of the poster below:

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Twitter is bringing Multi-Tweet-ability to us!

I discovered this from our SoMe group chat and @AVKwong mentioned this…brilliant! I can see this being a big hit at a conference or two…hopefully it won’t be a licence to ramble though!?

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We reinforced the SB4YB!!

A new concept to us, but I hear similar things go on elsewhere in the UK. We place this laminate over our US machines before we start our blocks…you can download a copy by clicking but acknowledge us is all we ask. In press article too👍

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Amazing POCUS!

Season’s best!

UTS give us their best of their year.

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It’s great when they match!

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Head to head on the portables!!

A great little snippet of the 3 biggies within the parable US world. I have to say, I love my Vscan DP! It has become invaluable to me, both on ITU and on the wards, pre-op assessment. But will it be worth the wait for the Butterfly…??

Look at this for a rather rare sight!

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Septal deviants!

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Tamponade is bad..but when the LV suffers…problem!

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Sam Ghali reminds us!

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Look at the Twinkling heart!

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Nice visual summary for things we ‘poke’ needles into!!

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 Double trouble!

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The Returning resuscitationist!

What a lovely site from a good friend! He kept this quiet, but do take a look. Lots of great resources from @iceman_ex! But…here he gives some of the references from a recent talk.

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VT…and what the AHA say…simply!

A nice piece here regarding VT and its recognition / treatment.

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Some nice presentation tips!!

Have a look at this from 5Minute Sono and Salim Rezae…..Ross Fisher eat your heart out! Click in the 5Min Sono pic to watch!

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Puff right out…then grab that paper bag!

A nice blog from Pulmcrit on respiratory drive with case discussions (including what you may think is slightly controversial – opiates to decrease the resp drive in acute asthma…wow!). Brings you back to basic physiology again.

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Watch the initial loading people!

This is a great blog from Emcrit, within their iSepsis section. It contains commentary from Paul Marik on his paper looking at a large cohort of patients and what they received as far as initial fluid resuscitation in sepsis was concerned. Take a look….original paper below too.

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Papers, Articles & Resources!

ITU Management take us through the world of FOAM!

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Dr Shaher demonstrates ITU and Airways!

Click below to download some rather nice Aide-memoires for Airway management in the critically ill:

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Animals…they can help with VAP!

A nice piece on translational medicine…from animal VAP models to humans. Worth a read and palatable for amn animal / lab based article…honest!

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Birds do it…Bees do it…even cardiologists do it!

We are all advocates here, obviously! But this article highlights beautifully the usage of social media in medicine and what it can do for us. Uses cardiologists as the example.

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Even UpToDate say CIN is mythical…more or less!

Click the link to my summary word doc, UpToDate is sub only!

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 Those adjuncts in acute heart failure…do you know yours?

A nice snappy update…thats what we want to see!

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The airway of doom in trauma!

You can get caught out, but Kovacs et al describe nicely reasons why and open our eyes to the trauma airway.

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Are we putting our money where our mouths are in ARDS therapy?

Seemingly not, so the APRONET study tells us!

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Acute heart failure…filter them?!

A fantastic article on ultrafiltration in acute heart failure…never mind the diuretics!

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Scurvy ahoy!!

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See also TBL on the original Marik paper..

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Dislocated shoulder in the ED…maybe you don’t need Ketamine!!

Yes, we said it…you may not need Ketamine!

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Step right up…download until 30th December!

Some lovely trauma papers here. If you can’t read them all, at least look at the nice summary key points at the start of each.

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Don’t lose the CO2!

Lose your ETCO2 trace in theatre and it’s not a disconnection…worry! I always explain to trainees that if your ETCO2 level is dropping, it’s likely to be a cardiac output related phenomenon…then sure enough, the BP reading comes back…LOW! So, it’s no surprise that CO2 levels are useful to look at during a resuscitation effort….but is there any prognostic value??

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Nitin does FICE!!

And quickly!! 50 scans in 63 days…boom!

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We talked ICSSOA2017!

The Two Jonny’s and Dave! We had a laugh with this one, running through the fantastic imagery from ICS SOA and putting the world to rights!

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Infograms and Images

ECG of the week!!

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Don’t get too excited about fluid resuscitation…did we say fluids are DRUGS!?

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Remember how to remember the ECG leads

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 Lessons learnt from Terror!

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Don’t underestimate that dissection…says Dr Richman!

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Sepsis in a sketch

Beautifully drawn as ever by The Plague Doc!

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WPW…love a sketch!

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Peripheral artery disease!

And another belter from The Plague Doctor

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STEMI or NSTEMI…that’s the question!?

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DVT and PE

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People are spreading the FOAM word…

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Talk the Talk and Walk the Walk

POCUS language

 How well put…POCUS is like cooking!

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Morale needs to be lifted!

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Don’t let it slow you…a fool with a tool is still a fool!

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Those encephalopathics!

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To be honest, there’s so much out there…too much to show at times. Hope this was helpful and demonstrates the themes of the last few weeks.

Have a great Christmas and a safe and prosperous new year to you all!


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