Best #FOAMed #FOAMcc #POCUS finds – October (1)

News!

Loads here…lots of your POCUS and many papers / blogs and more to check out….

Some images from the Butterfly!

So here is an open and honest thread on the device with hands-on experience.

Screen Shot 2018-10-02 at 11.19.43.png

 

We ran a JC!

Click here to see all.

And the Twitter moment…

Screen Shot 2018-10-02 at 11.22.40.png

Success!

A great reminder to us all from Sylvia Duckworth about success….don’t get too jealous of colleagues, as there’s a base to the iceberg you don’t see!

Screen Shot 2018-10-01 at 16.17.19.png

Papers and Publications

 



JW’s pick of CCR papers

Thanks to Rob MacSweeny for all of these…here are the papers I considered too be the ‘Gems’. Take a look at CCR journal watch here

Screen Shot 2018-10-02 at 11.54.22.png

Screen Shot 2018-10-02 at 11.57.04.png

Screen Shot 2018-10-02 at 12.01.23.png

Screen Shot 2018-10-02 at 12.02.12.png

Screen Shot 2018-10-02 at 12.03.36.png

Screen Shot 2018-10-02 at 12.07.26.png


 


Refractory septic shock…how the others do it?

A lovely article demonstrating a pragmatic, multi-faceted approach to managing patients with refractory septic shock based on experience of toxin-mediated sepsis in a specialist referral centre.

Screen Shot 2018-10-02 at 11.41.42.png

 

Thoracic ultrasound…not just about the pleura!

A nice letter to the BMJ from colleagues and friends regarding TUS and it’s applications.

Screen Shot 2018-10-02 at 11.33.34.png

There can’t be 100% delivery wherever you go!

A great article in Critical Care regarding global differences and barriers to delivery of sepsis care…

Screen Shot 2018-10-01 at 14.11.45

Screen Shot 2018-10-01 at 14.10.13.png

NAP 6 comes out

Recommendations…thanks to Sally El-Ghazali for this

Screen Shot 2018-10-01 at 13.57.01.png

Screen Shot 2018-10-01 at 13.58.49

Screen Shot 2018-10-01 at 14.01.09Screen Shot 2018-10-01 at 14.01.15Screen Shot 2018-10-01 at 14.01.21

Screen Shot 2018-10-01 at 14.00.16.png

Block the elderly!

A lovely narrative from Anaesthesia Journal demonstrating the power of RA in minimising morbidity from hip fractures.

Screen Shot 2018-10-01 at 15.54.39.png

Screen Shot 2018-10-01 at 15.54.53.png

Blogs and resources

Top 5 for DVT scanning!

Nice article from BMUS ultrasound here

Screen Shot 2018-10-02 at 10.31.12.png

TBL do out of hours!

We all hate discharging any of our ICU patients out of hours. Morbidity and now mortality. There’s nothing worse than a patient you just discharged bouncing back Here’s the evidence and this backs up why this is a very important figure to focus own within your ICNARC dataset.

Screen Shot 2018-10-01 at 16.18.44.png

 

STEACS are high…

TBL take us through this paper, looking a patients presenting to the Emergency Department with suspicion for acute coronary syndrome (ACS). Did the use of a high-sensitivity troponin assay reduce subsequent myocardial infarction or cardiovascular death at 12 months when compared with the use of a standard troponin assay?

Screen Shot 2018-10-01 at 16.21.25.png

 

Lovely pacemaker basics

See ours here.

Take a look at RebelEM’s version

Screen Shot 2018-10-02 at 10.59.16.png

 

The latest in traumatic brain injury

Matt Wiles takes us through the latest updates in management of this condition.

Screen Shot 2018-10-01 at 13.49.25.png

 

POCUS

Look at that light!

Or not…Jason Bowman shows us how you can detect pupillary response with your eyes, (the patient’s), shut!

Too and fro for SBO!

Thanks to Sheng-En Chu for this

A storm!

Thx to Robert Strony for this.

 

Tamponade…naaah!

Screen Shot 2018-10-01 at 16.23.57.png

 

Renal patients…fluid collects!!

Screen Shot 2018-10-01 at 16.27.33.png

 

Haemopericardium

Gonzalo Casasola shows us what a bleed here looks like!

Pneumothorax

We always love to hate seeing these..thx to U of U period Echo for this.

There could be something hiding in Morrison’s Pouch!

Screen Shot 2018-10-01 at 15.29.33.png

Cardiomyopathy…put colour on it!

Screen Shot 2018-10-01 at 15.57.35.png

A rare one – Raghib’s Syndrome

Thanks to VL Sorrel for this one. What is it then? Persistent left superior vena cava draining into the left atrium (PLSVC into LA) often associated with an absent coronary sinus and an atrial septal defect. Ligation of PLSVC and patch-repair of the atrial septal defect can be performed. It can include additional multiple cardiac defects, including ventricular septal defect, pulmonary stenosis, tricuspid insufficiency, and complete transposition of the great arteries. Palliative Blalock procedure can be used in these cases. was used for this patient. CT scan of the heart can be of great assistance. Surgical correction of the persistent superior vena cava is the emphasis to prevent what this patient had…a stroke!

Pericardial effusion in a RTA patient?

Screen Shot 2018-10-01 at 15.51.28.png

Thickest septum ever?!

Thx to Ahmad Masri

McConnel’s Sign

Another lovely example from Eric Abrams in a patient with sub-massive PE.

 

Erector spinae block

Check out out regional anaesthesia section on Torso blocks here

This is a novel transverse approach…tP being the transverse process.

Screen Shot 2018-10-01 at 15.35.38Screen Shot 2018-10-01 at 15.35.45Screen Shot 2018-10-01 at 15.35.54

Tweets

Laws of patient communication…

Thanks to Stu Marshall for these,

Screen Shot 2018-10-01 at 16.40.09Screen Shot 2018-10-01 at 16.40.22Screen Shot 2018-10-01 at 16.40.34Screen Shot 2018-10-01 at 16.40.44

 

Sam takes apart SSC guidelines…as we all have!

Screen Shot 2018-10-01 at 16.36.39.png

The golden time!

From Jon Carter…the perfect patient should be:

Screen Shot 2018-10-02 at 11.51.41.png

 

Steroid again!

Screen Shot 2018-10-01 at 14.13.25Screen Shot 2018-10-01 at 14.14.10

Anaesthesia for EP procedures..

Click the Tweet link to see and thanks to ACTACC Crewe for this

Screen Shot 2018-10-02 at 11.16.18.png

DOAC’s

Screen Shot 2018-10-01 at 15.21.47

Screen Shot 2018-10-01 at 15.24.32.png

Screen Shot 2018-10-01 at 15.22.12

Temperature in the lung?

Check this out from Ahmad Masri! Mercury poisoning and literal mercury lung!

Screen Shot 2018-10-01 at 16.07.05.png

 

Infographics

Remember the gas laws?

Lovely piece by Vivamatch

 

Delirium

Do something about it as Lunda Dykes says

Screen Shot 2018-10-01 at 15.26.00Screen Shot 2018-10-01 at 15.26.15

M-Mode signs

2 lovely slides from Mike Griksaitis from one of his recent talks.

Screen Shot 2018-10-02 at 11.45.53Screen Shot 2018-10-02 at 11.46.04

 

Stop those ARB’s??

A nice infographic from Anaesthesia Journal on a highly relevant study…are we being too quick to stop these drugs prior to general anaesthesia?

Screen Shot 2018-10-02 at 11.48.17.png

 

Airway drills

In an infograph from Aaron Sparshott.

Screen Shot 2018-10-02 at 11.03.26Screen Shot 2018-10-02 at 11.03.41

Transfusion trials

Thanks to Vivek Moitra for this.

Screen Shot 2018-10-02 at 10.47.14.png

 

Intrafascial Nerve blocks

Thx to @sebopi for these brilliant infograms

Screen Shot 2018-10-02 at 10.54.03Screen Shot 2018-10-02 at 10.54.21

Augusto does ACS!

Beautiful as ever

Screen Shot 2018-10-01 at 16.37.42.png

Pleural effusions

Great Tweetorial from Canadian Journal; of Anaesthesia. Thx to Hatem Aboumarie.

Screen Shot 2018-10-01 at 16.04.11.png

Biases!

Nice infographics on these from Bernadette Keefe.

Screen Shot 2018-10-02 at 10.27.42Screen Shot 2018-10-02 at 10.28.01Screen Shot 2018-10-02 at 10.28.13

 

Bad News!

Thanks to Graham Mackenzie for pointing this one out.

Screen Shot 2018-10-02 at 11.08.36.png

Resources

Scan the QR codes and look at what you can get

Brilliant look at trauma essentials…scan the QR and see where not goes👍

Screen Shot 2018-10-01 at 16.01.57.png

 

Forthcoming:

  • Interesting case report on dietary supplements and death
  • More Portable device reviews
  • Journal clubs
  • New emergency sections

BW all,

JW

One thought on “Best #FOAMed #FOAMcc #POCUS finds – October (1)

Add yours

Leave a Reply

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

Powered by WordPress.com.

Up ↑

%d bloggers like this: