Best of #FOAMed #FOAMcc #POCUS

Here is my latest trawl of what I considered to be the best of FOAMed at the moment. This is certainly not exhaustive...you can end up like a child in a sweetshop otherwise! The podcast discussion I had with Jonathan Downham can now be heard by clicking the pic below. This is episode 2 of... Continue Reading →

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Renal Replacement Therapy – help or hindrance?! #FOAMed #FOAMcc

Written by Dr Richard Pertwee (Clinical Fellow ITU) Edited and reviewed by Dr Jonny Wilkinson Renal replacement therapy is a commonly administered treatment in Intensive Care. It is also a therapy / aspect of critical care that creates a large air of confusion amongst many, from nursing staff to medical staff alike. >5% of the... Continue Reading →

Best of #FOAMed #FOAMcc #POCUS (Week 1 May)

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 →

Best of 14th Critical Care Symposium #FOAMed #FOAMcc #POCUS

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 →

48hrs of #FOAMed finds! #FOAMcc #POCUS

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 →

This Week’s Best #FOAMed #FOAMcc #POCUS (March 13-19)

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 →

This Week’s best #FOAMed #FOAMcc #POCUS (March 2017 – week 1)

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 →

The Week’s Best #FOAMed #FOAMcc #POCUS (20-25 Feb 2017)

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 →

The week’s best #FOAMed #FOAMcc finds (3 – Jan 17)

Loads to get through here...so if you're looking at this in theatre (ensuring your patient is safe as No. 1 priority, obviously), you are probably doing it during a long case. To the rest of you, grab a large coffee and relax as you read. Lots of the screenshots may also have links, so do... Continue Reading →

Today’s best #FOAMed #FOAMcc finds (2 – Jan 17)

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 →

Summary of the 2017 Sepsis Guidelines! #FOAMed #FOAMcc #Sepsis

There is a lot to look at here, but these are the main points to take home and to follow. A fair amount of expert work went into these recommendations from some of the biggest names in the field.The original document can be found below. 2017-surviving-sepsis-recommendations A. INITIAL RESUSCITATION 1. Sepsis and septic shock are... Continue Reading →

Today’s best #FOAMed #FOAMcc finds (1 – Jan 17)

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 →

Top Papers Section now live #FOAMed #FOAMcc

Take a look at our Top Papers section to see some of the best evidence out there, as adjudged by us and also from deep perusal of Critical Care Reviews site. Thanks to them!! We will try to keep this as up to date as possible...missing papers you think should be included...let us know?!

Fluid responsiveness…will your echo help?! #FOAMed #FOAMcc #POCUS

The Conundrum... Your patient is dry....or so the night docs tell you, having had it drummed into them for the past few hours into the morning by the nursing staff. How are you going to sort this, is there a bigger issue with the patient, do they need the magic pressers, just IV fluid.....or, do... Continue Reading →

ENVOL study – is there a marker for positive fluid balance? #FOAMed

    WHATS IT ABOUT? The maintenance of optimal blood volume without the development of a positive fluid balance is something we are all striving to achieve for our critically ill patients. Sick patients become 'leaky' and we continue to fill them with fluids, chasing a worsening situation as they seem hypovolaemic. They get: Large... Continue Reading →

Volume Overload: Prevalence, Risk Factors, and Functional Outcome in Survivors of Septic Shock #FOAMed

A study carried out in an academic county hospital in the US examined the associations between volume overload on ICU discharge, mobility limitation and discharge to a healthcare facility amongst survivors of septic shock. Septic shock is commonplace in critical care and indeed, its incidence is on the increase. With this however, we are seeing... Continue Reading →

Albumin…should we dig it, or ditch it?

Intro I am always asked by vigilant ITU trainees of all grades, 'should we give some albumin here; what do you think?'. In answer, my response is normally...no, it has no mortality benefit at all. But am I being harsh? Physiology for dummies! So albumin: Maintains the oncotic pressure (+ plasma volume) in blood vessels... Continue Reading →

IV Fluid Resuscitation in Sepsis…

This is an excellent animation from the CEC and can be found within the right menu bar under LINKS WORTH CLICKING ON. Underlies the work Ron Daniels and his team are doing in the UK. Click here as well to see it..... More to come.....  

Is the literature inconclusive about the harm from HES? We think….Yes!

A recent editorial discusses the thorny issue of fluid resuscitation. Notably, there is still no consensus about the major aspects of fluid resuscitation. It's the usual rigmarole we face....no clarity about when to start and stop fluids, how to guide them or even how much to give. The bulk of the research has been focused on comparing... Continue Reading →

A.K.I…not to be missed and coming to an ICU near you soon!

What do we know... The AKI-EPI study, found an incidence of AKI in 57 % of the 1800 included patients. Severity was associated with adverse patient and kidney outcome at hospital discharge [1]. Analysis of a large cohort (32,045) confirmed a high prevalence (74.5 %) and further illustrated that both AKI severity, duration and the criteria used... Continue Reading →

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