Best FOAMed finds – February 2020

We are back! We hadn’t disappeared, it’s just there has been a lot happening of late! Here we go with the latest in critical care spots…

News

SOA went Big in 2019!

The ICU SOA meeting went ahead back in December 2019. It was a fabulous meeting in Birmingham and the team did an amazing job!

SOA 2020 is now up …get your place soon!

Screenshot 2020-02-15 at 10.36.03

I was there as a member of ICS faculty, performing various other roles too. One was digital moderation of sessions; a really enjoyable task!! The other was within my capacity as a FUSIC supervisor. We ran the advanced Ultrasound course on the Sunday before the main conference….we think it went down very well. Here is what we did…see you in December 2020 for the same and more

Screenshot 2020-02-15 at 10.20.06

Catch what went on here:

 

Screenshot 2020-02-15 at 10.38.05
Enter a caption
Screenshot 2020-02-15 at 19.26.22
Day 2
Screenshot 2020-02-15 at 19.30.08
Day 3

FUSIC was born!

We have moved away from FICE and CUSIC. These were the divisions of critical care ultrasound accreditation in the UK. FICE being the cardiac side, CUSIC being essentially, the rest. We now call it FUSIC…see what we did there!! Focussed UltraSound in Intensive Care. This has been fabulously chaired by my good friends Ashley Miller and Marcus Peck over the years.

The major change has been the modularisation of the divisions of CUSIC. So….if you want to become accredited in the lot, you have to get your scan numbers in, in each of the modules. But, now it is possible to go and do them separately. This has been amazing, as for example, we can go off and train our physios up to perform lung US on the unit….as we have with 3 of our bunch here at Northampton. So…pick and mix. Oh, by the way, you still need to go off and attend one of our approved courses FIRST. See below all about FUSIC

Screenshot 2020-02-15 at 10.22.19

 

CCR 20 also went nuts!!

Rob MacSweeny did it again with a record-breaking attendance at this years CCR! Please see his amazing site here:

Image result for criticalcarereviews

If you want to get a brilliant load of info. on the whole thing, look at what Simon Carley and the St.Emlyn’s team popped together for us all…in record time too! Simon literally had these blogs live as the meeting took place!

 

 

Screenshot 2020-02-15 at 19.35.20
Day 1

 

Screenshot 2020-02-15 at 19.43.58
Day 2

 

Forthcoming Meetings!

RA-UK comes to the land of steel!

Get booking now! This is going to be a spectacular event with regional, POCUS and much much more! Amit Pawa and the team have plans, big plans!!

Screenshot 2020-02-17 at 11.23.27

 

Bloomin’ NoRA!

Book yourself onto our first Northampton Regional Anaesthesia Course here. Loads in store for all you need to know in blocks ‘on the coal face’!

Screenshot 2020-02-17 at 11.26.28

 

 

Blogs

Catch up with Crit Care Reviews

CCR Logo Promoting OA 080715 opt

No time this week to breakdown my top 10 papers…next time; so instead, here’s the link! Thanks again Rob MacSweeny!

Screenshot 2020-02-17 at 11.10.53

 

65 Trial

We took part in Northampton. Here are the results of a much-anticipated trial. Beautifully broken down by Celia Bradford. What will you be doing with the >65’s?

Clinical Question

In patients older than 65-years with vasodilatory hypotension receiving vasopressors, does a target mean arterial pressure (MAP) of 60-65mmHg compared with usual care impact mortality?

Screenshot 2020-02-15 at 19.46.59

Published here in JAMA

 

Peptic

H2RB’s Vs PPI’s in ICU patients…will this one change your practice?

Clinical Question

In ICU patients requiring invasive mechanical ventilation, does the use of proton pump inhibitors (PPIs) vs. histamine-2 receptor blockers (H2RBs) for stress-ulcer prophylaxis, reduce 90-day mortality?

Screenshot 2020-02-15 at 19.51.02

Published here in JAMA

 

Take Your Vitamins!

Or not….did this much-discussed therapy make any difference to the outcome in this large RCT?

Clinical Question

Does treatment with vitamin C, hydrocortisone, and thiamine lead to a more rapid resolution of septic shock compared with hydrocortisone alone?

Screenshot 2020-02-15 at 19.54.18

Published here in JAMA

 

PE and norad….really?!

Yes…check out this uber-intelligent post from Jon-Emile Kenny on the topic. His site gets a winner this month…

Screenshot 2020-02-17 at 10.31.27

 

Grab me a Corona….not the virus!

Ashley Liebig talks us through whether this is all cry wolf, or run from the tiger!!

Screenshot 2020-02-15 at 20.00.22

 

Dave L talks Haloperidol!

Screenshot 2020-02-17 at 10.51.12

See the paper here

 

The Resus Room keep us updated

Here is their February paper scan. Thanks team! Find them on twitter here

Screenshot 2020-02-17 at 11.04.26

Deresuscitation dominates!

And here is a great blog on why / how! Thanks to Josh Farkas as ever!

Screenshot 2020-02-17 at 11.07.47

 

 

 

Papers & Editorials

Regional anaesthesia is getting too complicated!

An excellent piece from a few RA legends. Is regional anaesthesia becoming just too complex and are these complexities leading to early attrition? Read on…

Screenshot 2020-02-15 at 20.09.40

Screenshot 2020-02-15 at 20.15.51

 

Roc, Sux…what the hell?!

Which is safest in out of hospital RSI?

Screenshot 2020-02-17 at 10.05.51

Terren Trott has written a Nice blog on this here

Pancreatitis

A great narrative on the crit care / general management of this nasty condition. Thanks to Abid Hussain for this.

Screenshot 2020-02-17 at 09.24.41

Critical Care hibernation!

Could this be of benefit…or harm?? Thanks to Giuseppe Citerio

Screenshot 2020-02-17 at 10.13.00

Image

 

Pop in a Midline?

We argue the toss about catheter-related infections….but do we really know what the risk is? How about this paper on midlines and their associated infection risk. Worth considering Vs PICC or tunnelled lines? Watch this space regarding the first Intensive Care National audit along these lines (excuse the pun)! Here… ICS

Screenshot 2020-02-17 at 09.33.03

Rib fractures…what’s up our sleeves now?

Great paper on the alternatives to the management of what can be a high mortality condition.

Screenshot 2020-02-17 at 09.59.16

 

 

POCUS!

Medical students can teach POCUS!

Brilliant project here on how a group of 3rd Year med students, within a SSM, taught ultrasound very effectively! Thanks to ATSMedEd for this.

Screenshot 2020-02-17 at 10.56.43

 

Fluid and POCUS

Excess/deficit??? Kylie Baker takes us through it in one of her fabulous lectures..we love Kylie B!

Screenshot 2020-02-17 at 10.41.57

 

PA Pressure Calculation – the alteratives

Screenshot 2020-02-17 at 09.37.11

 

Image

Also, check this out…

Screenshot 2020-02-17 at 09.41.27

 

Fabulous Tweetorials!

Propofology takes vitamins!!

Read this amazing Tweetorial from my good friend Dave Lyness….excellent stuff!

Screenshot 2020-02-15 at 20.20.53

 

Dave does Corona Virus

The topic of the year here! And more to come no doubt, but Dave at propofology.com (Our sister site), takes us through this scare beautifully!

Screenshot 2020-02-17 at 11.16.56

 

Some fabulous ESICM tutorials!

Here are a bunch, again, put together by Dave Lyness.

Screenshot 2020-02-17 at 11.19.55

CRP….well, what I didn’t know!!!

Great Tweetorial from Jo here

Screenshot 2020-02-17 at 09.21.14

Check out this pneumothorax!!

A neat trick from Chris Prabhakar!!!

Screenshot 2020-02-17 at 10.47.03

 

What’s all this VEXUS stuff?!

Eduardo Argaiz runs us through all of this here, focussing on Hepatic doppler flows.

Screenshot 2020-02-17 at 10.36.43

Check out my infographic on the topic too here:

Screenshot 2020-02-17 at 10.39.41

 

Amazing infographics!

POCUS

NephroPOCUS does – get your LV right!

Image

 

POCUS does NOT mean don’t communicate!

Thanks again to NephroP for this!

Image

 

Pleural Vs Pericardial effusion

Nephro P again! Great Gif on the differences between these entities

Pleural Vs Pericardial EffusionImage

 

The greatest Gif in the world!

The Cardiac cycle in all its glory!

Cardiac Cycle Gif

 

Jonny’s Favorite POCUS image!

Use away…thanks to Antonia Urbano for posting

 

Regional walls and nomenclature

Image

Image

 

Coronary Territories

From NephroP again.

Image

 

Eduardo does advanced POCUS guided sepsis algorithms!

Image

Following this, a great table from Vignon on cardiomyopathies!

Image

 

Remember your valves!

Nice find from Cian MacDermott on valve positions in POCUS.

Image

Ultrasound in Cardiac Arrest

Lovely one from Haney Mallemat here!

Image

 

OTHER

Lymphoma!

A neat board review and cheat sheet on what goes on in this haematological condition. Thanks to Charin Hanlon!

Image

 

Heart Failure!

Claire Molloy has produced some AMAZING graphics for you all….more to come from her too.

Image

 

Vascular Issues!

Beautiful graphic by Cynthia Czawlytko…more from her soon; watch this space!

Image

 

TTM after cardiac arrest

Beautiful one from Velia Antonini again.

Image

 

Apps, Downloads and Resources!

Smooth over those ‘wobbly vids’!

Lovely download here…

This is an Electron app written as a frontend for ffmpeg using the new vid.Stab library. vidSmooth takes an input video and outputs a stabilized version in high quality mp4/h264 format.

Image result for MacOS
Download for Mac

Windows download

 

Check out our site of the month….

Goes to…Heart-Lung.org. Brainy physiology with palatable simplicity!

 

Until next time, take care!

JW (Ed)

 

Leave a Reply

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

Powered by WordPress.com.

Up ↑

You have successfully subscribed to the newsletter

There was an error while trying to send your request. Please try again.

Critical Care Northampton will use the information you provide on this form to be in touch with you and to provide updates and marketing.
%d bloggers like this: