Still melting in the sun? Watching England apparently playing football for once....need a break from all of this? Then read on and absorb the best POCUS, papers, resources and much more from the FOAMEd world! Buckle up! News! Jeremy Hunt stepped out of his role as UK health secretary..... Dave Lyness does ITU trials April... Continue Reading →
It never ceases to amaze me what is out on Twitter! A wealth of POCUS with some fabulous images, some really interesting infographs, trials, reviews and resources. I have done my usual trawl to try to snapshot what I see as the best of the lot this week. Sit down, caffeinate and digest.... Big News!!... Continue Reading →
We have chosen to feature this topic (as many blogs have), as there are many grey areas associated with treatment of PE. In the main, these are whether to thrombolyse or not and it takes skill on the risk:benefit front to do the right thing. There are many published guidelines and outcome trials to try... Continue Reading →
First Impressions are Scary! My first rotation in intensive care! Behind me are the days of the agitated patient at 4am; restless and pulling out cannulas and catheters. No more bleeps to deal with the elderly gent who by day is the sweetest, kindest person you could ever have the pleasure of meeting; but... Continue Reading →
Background This is designed as a quick guide to the management of this common ITU condition. Click here for the original NICE guidance for AF New Onset AF (NOAF) Usually prequelled with some previous risk factors: Age Poor LV function LA dilatation Thyroid disease Alcohol consumption Hypertension Atrial fibrillation with fast ventricular rate Cardiac... Continue Reading →
Loads of action this week. But here is a pick of some of the best of FOAM / POCUS. Click the pics to go to the linked articles. JW General Papers ARDS and its after effects...beyond the trial info! Frailty...not just mortality!! I think this is very poignant. We quote mortality when putting patients... Continue Reading →
Here are a few trawls of the world of FOAM. Plenty to look at to keep you going. Thanks to LITFL for their usual fab posts, The Bottom Line, EmDOCs and many other sites where a lot of this material came from. As ever, the POCUS world continues to grow, there's a lot of focus... Continue Reading →
We are privileged to be hosting the first of 4 articles all about the minefield that is, 'Fluid therapy in the critically ill'! They were all written by Manu Malbrain (a good friend of mine), who is an internationally renowned expert in this complex field. If you work your way through all 4 articles, you... Continue Reading →
Here are a batch of my usual trawls of the FOAM world. I didn't make DasSMACC (gutted), but many of you did and I am sure the themes within here reflect much of what you may have picked up there. I have also procured a lovely little book on POCUS ...you may have seen me... Continue Reading →
Here's another for you! Lot's going on as ever...and this is always very hard to put together without getting too carried away! Podcast 3 from the Two Jonnys coming your way this Thursday too...looking forward to that. Thanks also to Rob MacSweeny, as ever, for his hard work trawling about and putting together the always... Continue Reading →
This is another quick trawl of the best of FOAMed. I am delighted to announce that I have teamed up with Jonathan Downham (@ccpractitioner), to bring you the '2 Jonnys' podcast every fortnight. Check out his brilliant work here: We will discuss the best of FOAMed as an accompanying podcast to the blog. So as they... Continue Reading →
It was a massive success and hats off to Dr Veerappan for putting it all together! The following is a collection of the Tweets from the meeting...the best way to collate thoughts and the story of the conference. Loads here, and I mean loads! So take your time and scroll down. Occasionally there are clickable... Continue Reading →
Sorry for the lapse! I just wanted to promote what I see as one of the best forthcoming meetings in Antwerp (November 2017). The International Fluid Academy meeting! This 3 day meeting promises to fill your eager brains with masses of the latest evidence, key pearls and key discussion points from a wealth of high-end... Continue Reading →
We look at it daily on routine ICU bloods, it is used to help various acute conditions, it is always checked in the setting of cardiac arrhythmia....it burns with a glowing flame! We seem to obsess with keeping it’s serum level at the higher end of normal....is the fuss justified? It is true that hypomagnesaemia predisposes... Continue Reading →
Another really busy week with various meetings going on around the world. This is a selection offering you an insight into what has been going on out there recently, and do remember that many of the Twitter shots contain clickable links! Lots of POCUS, as well as lots of new papers and reviews from Critical... Continue Reading →
There has been a lot of action on the POCUS front, as well as some of the usual fabulous and bountiful FOAM Tweets this week and last. We have had a lot of activity over the last couple of months and a massive thanks to you all for supporting us. We are up to around... Continue Reading →
A bad week on ICU! Pericardial tamponades, many of the sickest patients I have seen for quite some time, tight aortic valves and a lot of POCUS!!! So..a lot going on this week, but I have been trawling and hope this gives you an idea of what's been going on? Make sure the kids are... Continue Reading →
More top picks for you all....more coming next week! Enjoy. JW Big papers 5 days...is that too long?? URANGA - Take a look at this as ever fabulous bit of work from the crew at TBL. Looking at duration of Abx therapy in pneumonia. See here. FICE & Echo RAP measurement made easy! Here is... Continue Reading →
We are going to try to produce regular sections on the best of FOAMed. Here's the first! Sit down with a coffee and enjoy....more to come! Great Papers Fits or frozen?! The Bottom Line Crew (Adrian Wong), debate the HYBERNATUS Study looking at whether we should cool status patients to improve outcome. Thanks again team see... Continue Reading →
Introduction This is a very common scenario on the ICU. Hypertension and what to do about it...if anything? There's a cohort of diversity in front of you: the post-operative patient who had their anti-hypertensives stopped prior to surgery, but now has a blood pressure of 165/95mmHg the elderly patient with a list of comorbidities and an incidental persistently... Continue Reading →
