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.

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We ran a JC!

Click here to see all.

And the Twitter moment…

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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!

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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

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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.

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Thoracic ultrasound…not just about the pleura!

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

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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…

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NAP 6 comes out

Recommendations…thanks to Sally El-Ghazali for this

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Block the elderly!

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

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Blogs and resources

Top 5 for DVT scanning!

Nice article from BMUS ultrasound here

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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.

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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?

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Lovely pacemaker basics

See ours here.

Take a look at RebelEM’s version

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The latest in traumatic brain injury

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

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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!

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Renal patients…fluid collects!!

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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!

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Cardiomyopathy…put colour on it!

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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?

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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.

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Tweets

Laws of patient communication…

Thanks to Stu Marshall for these,

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Sam takes apart SSC guidelines…as we all have!

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The golden time!

From Jon Carter…the perfect patient should be:

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Steroid again!

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Anaesthesia for EP procedures..

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

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DOAC’s

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Temperature in the lung?

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

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Infographics

Remember the gas laws?

Lovely piece by Vivamatch

 

Delirium

Do something about it as Lunda Dykes says

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M-Mode signs

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

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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?

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Airway drills

In an infograph from Aaron Sparshott.

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Transfusion trials

Thanks to Vivek Moitra for this.

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Intrafascial Nerve blocks

Thx to @sebopi for these brilliant infograms

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Augusto does ACS!

Beautiful as ever

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Pleural effusions

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

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Biases!

Nice infographics on these from Bernadette Keefe.

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Bad News!

Thanks to Graham Mackenzie for pointing this one out.

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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👍

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Forthcoming:

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

BW all,

JW

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