It’s been a while again, in amongst holidays, ITU shifts and reviewing portable ultrasound devices!! There’s more to come on the latter too. Loads has been going on, but this is a snapshot of some of what I considered to be the best out there in the world of FOAMed! Enjoy….

Promoted meetings

Just to let you know about a few…

CCR19

Absolutely one not to be missed. The big authors meet to chat about their big data. Amazing social and chance to network. Rob MacSweeny keeps this unique meeting going amongst his unbelievably busy agenda!

iFAD goes Amsterdam

Another not to be missed! Great faculty and amazing programme of topical lectures in a fabulous city. Come and join us. Day 2 sees a fabulous day of critical care ultrasound (I’ll be there teaching and helping to promote #learnpocus). Get booking as this sells out fast!

State of the Art meeting

Come out to London for what is set to be a blazer of a meeting! Steve Mathieu and the team have worked tirelessly to get this together….so register now!

SICS 2018!

A fabulous programme organised by Dave Hall et al. I’m popping across to do a bit of a POCUS chat! Hope to see you there!

Papers and publications!

A must read on IV fluid therapy!

There are 3 names you would want on a paper about IV fluid therapy in critical care if it were to be the perfect article….and there are. Take a look at this brilliant work and this goes down, for me, as one of the articles of the year. Also…check out the echo images…recognise the contributors?

How are we teaching them?

It seems teaching lung ultrasound is, to say the least, heterogenous! This paper examines just this and the second table provides some brilliant insight as to what people are up to with this. Standardisation is needed…..some of us are working on just that as we speak!

Are PPI’s the one…or H2 receptor antagonists?

Clinically important upper GI bleeds are a big issue on ITU. This trial looked at whether PPI’s were better than H2R blockers at the job…

Leave them too cook or jump in and cool?

What should we do? The temptation is to go racing in to cool our patients when febrile. Does it make a difference to outcome? Read on…

Anaesthesia is all the same…isn’t it?

This is an excellent editorial from Anaesthesia on whether ‘any monkey’ can effectively deliver anaesthesia. But, as we all know, it’s certainly not that simple!

Great work but Danny Wong et al – SPAP2 is out.

So this is why operations are cancelled in the UK. Huge amount of great work by all concerned! Take a look at the thread and the repository too.

See the paper here

Blogs!

Mind the gap….one of the best DKA reads!

This is a fabulous review by Josh Farkas et al on the topic. Of particular note and joy to me is the fact that normal saline doesn’t really feature as a resuscitation fluid. I Tweeted about this recently too.

Alteplase Vs aspirin in minor stroke

Alteplase has been the vogue at times for minor stroke treatment…but is there any benefit over aspirin? Salim Rezaie and the crew at REBEL EM talk about the PRISMS trial.

TBL go FiSH’ing Trial

The guys are busy again, this time looking at the FiSH trial. Restricted Fluid therapy in early septic shock: results of the fluid in shock (FiSh) pilot trial.

In children with septic shock, does a restricted fluid bolus volume, compared with a standard fluid bolus volume, improve outcomes?

AIRWAYS-2

So, another TBL analysis on this great paper, looking at the implication on pre-hospital airway intervention had on outcomes in OOH cardiac arrests.

One view, one decision

This lovely post from Emdocs highlights why we should try not to give POCUS a bad name when utilising EGLS! Minimisation of Resus delays to get the perfect view have been a large bone of contention of late….they tell us how we can become more efficient with it and follow CASA principles (more on this here too).