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 →
Hopefully...all that you need for critical care echo / scanning! Please take a browse through our all new sections, consistently updated on all we think you need to know about critical care ultrasound #POCUS. Click on the POCUS menu and take a look at each system. I have carefully selected videos and created playlists so... Continue Reading →
Here is the podcast discussion this post. Click the pic and listen along as you read! A sift of FOAMed FOAMcc and POCUS gems. Enjoy! Papers and Stuff! A great article worth looking through, outlining the utilisation of ultrasound in critical care. 10 points why it is a highly useful diagnostic aid to the critical... 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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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?!
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 →
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 →
