Best of #FOAMed #FOAMcc #POCUS finds – February 2018

Back, from investigating the infographics, perusing the POCUS and limboing the literature. There’s a lot out there as ever in the Critical Care world.

Please see my infographics sections for Crit care trials and other areas within anaesthesia, including statistics and valve pathologies. See them all in the slideshow below and the latest one on the MACMAN trial! I am more than happy for you to download them and use them, just acknowledge the source👍

Screen Shot 2018-02-25 at 13.50.35.png

Also, see some fabulous stuff from the PlagueMD and Hannah Ames.

JW Infographic Compendium!

 

This slideshow requires JavaScript.

Jonathan Downham has also started to Vlog on many of my infographics, thanks to him…see them below

 

February ICU Trial Activity

…in a lovely infograph! Below are the links to them all too. Thanks to Dave Lyness for this at propofology.com.

Screen Shot 2018-02-25 at 10.34.26.png

Screen Shot 2018-02-25 at 10.37.41

Screen Shot 2018-02-25 at 10.39.13

Screen Shot 2018-02-25 at 10.40.37

Screen Shot 2018-02-25 at 10.45.25

Screen Shot 2018-02-25 at 10.42.18.png

Screen Shot 2018-02-25 at 10.56.42

Screen Shot 2018-02-25 at 10.58.14.png

 

 

Screen Shot 2018-02-25 at 10.59.45

Screen Shot 2018-02-25 at 11.00.50

Other Papers and Reviews

ARDS…a lovely little guide

Loads out there, but really, only 3 main recommendations. Have a read and download the ARDSnet pocket Card here.

Screen Shot 2018-02-25 at 11.07.06

Newer red cells/…atre they in fact worse for you?

We’ve seen the results of ABLE and various other trials involving blood transfusion, but have look at this systematic review.

Screen Shot 2018-02-25 at 10.50.10

Tranexamic Acid…know how it works?

Have a read of this fabulous article all about fibrinolysis. Well worth a brush up on the mechanisms behind clotting and the drugs we use as gospel to prevent intra-op bleeding

Screen Shot 2018-02-24 at 12.40.58.png

Screen Shot 2018-02-24 at 12.45.22.png

Screen Shot 2018-02-24 at 12.47.04.png

Know what to do in theatre when it all goes a bit wrong!

Great article about what goes wrong during routine cases. Some handy pointers.

Screen Shot 2018-02-24 at 12.48.06

Part 2 talks about special situations

Screen Shot 2018-02-24 at 12.49.49.png

There’s a lot to weaning!

This article is a fabulous insight into the weaning process, why it’s so important and equally, why it’s so difficult!

Screen Shot 2018-02-24 at 12.56.52

Are we any better having been shown how to “READS” the CXR?!

So TBL take us through a study that looked at whether education in interpretation of CXR’s would improve our diagnostic yield in ARDS?

Screen Shot 2018-02-23 at 13.03.41

 Get in there early!!

Celia Bradford at TBL discusses further follow up on early initiation of RRT in the critically ill…it appears to be beneficial! So we await initiation and results of the forthcoming STAART-AKI Trial which looks at very early initiation of RRT!

Screen Shot 2018-02-23 at 17.28.59.png

 

Inhaled corticosteroids for COPD…useless?!

An interesting one for you! The mantra may be rubbish then. ICS are perhaps no longer beneficial according to the WISDOM trial results (NEJM paper).

Screen Shot 2018-02-22 at 10.47.47.png

Drip them out of heart failure!

This article in anaesthesia debates whether IV furosemide infusion is any better than single boluses in acute heart failure…look at thePlagueMD’s infographic too!

Screen Shot 2018-02-23 at 13.45.39

Screen Shot 2018-02-18 at 11.05.23

Is ATLS dead…or does it just need updating!

As an ATLS instructor, I get the feeling repeatedly I am teaching the wrong, outdated facts to delegates!

So, the crew at emDOCS talk to ups about the 10th edition updates and how they are at least trying to stay up to date as it were!

Screen Shot 2018-02-22 at 10.52.07.png

What reveals whether you’ll get out or not?

This paper talks about some potential factors that may preclude the likelihood of a patient escaping from ITU quicker. Some might surprise you!

Screen Shot 2018-02-23 at 11.40.45

Global strain…and not just the economy!

We should perhaps be looking at GLS instead of hanging our hats poorly on EF measurement…because after all, you can have heart failure with preserved EF, or reduced EF. Global strain perhaps holds a better prognostic handle?

Screen Shot 2018-02-23 at 11.28.04

 

Fabulous Infogams!

Pulmonary Hypertension!

Screen Shot 2018-02-23 at 12.31.57

Downham does plan A!

Nice infographic on the plan A scenario!

Screen Shot 2018-02-22 at 10.57.28.png

Downham does NAP 4!

Screen Shot 2018-02-22 at 12.28.13.png

Focus on Anaphylaxis

Screen Shot 2018-02-25 at 11.19.43.png

MH!

Screen Shot 2018-02-25 at 11.21.17.png

Local Anaesthetic Systemic Toxicity – LAST

Screen Shot 2018-02-25 at 11.12.52.png

Time to cool it on cooling??

Screen Shot 2018-02-25 at 11.17.31.png

More lovely Plagues…Cardiac Axis!

Also see our section on his other stuff on the link above!

Screen Shot 2018-02-22 at 11.00.46
Screen Shot 2018-02-23 at 14.21.22

Don’t pour it in!!!

Screen Shot 2018-02-23 at 13.28.23

 POCUS…so valuable on ITU!

Screen Shot 2018-02-23 at 17.10.11.png

 It’s a WOBBLER!

Screen Shot 2018-02-23 at 15.42.17.png

 Ever heard of BRASH?!

Screen Shot 2018-02-18 at 12.05.46

Great Whiteboard stuff!

Screen Shot 2018-02-23 at 16.58.45.png

 

POCUS Stuff!

SOB and SAM!

 

 

Thrombolysis can be of great benefit then!

Look at the effects pre and post on this PE!

 

 

Another Takutsubo

 

 

STEMI…and wall invasion!

VSD after STEMI

 

 

NGT…is it in?

 

 

Look at that low CO…from the arch!

 

 

Post MI and LAD stent…Papillary muscle rupture

 

 

Post MI…apical rupture and thrombus!

 

 

LV free wall rupture

 

 

Anatomy displayed with the aid of ascites!

IVC / Aorta and a lovely hydronephrotic kidney

 

 

Why did they arrest??

CPR and the cause below…AAA!

 

 

 

Full screen tells you why the patient is shocked!

 

 

ST elevation and POCUS reveals…

 

PE…of course it is…or is it??!

Ultrasound at the front door take us through why we shouldn’t always assume PE in every dyspneic collapse!

Screen Shot 2018-02-23 at 13.25.32

 

Video of note!

The good old modified Valsalva in action!

 

 

Resources!

Take a look at how to refer to ITU

Thanks to Dave Lyness for this!

Screen Shot 2018-02-23 at 13.10.19

 

And how to interpret ABG’s

Dave Lyness again!

Screen Shot 2018-02-23 at 13.12.24

That’s all for now….more to come soon, including more exciting collaborations, infographics and POCUS!

JW

Advertisements

One thought on “Best of #FOAMed #FOAMcc #POCUS finds – February 2018

Add yours

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

w

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Blog at WordPress.com.

Up ↑

%d bloggers like this: