There are many reasons for a raised lactate. Identify the cause and then you will know if you need to do anything about it. Hint - it's usually not IV fluids. Lactate-CCNDownload
Lactate
Fluid guideline for critical care patients
Fluid-guideline-ICU-CCN-1Download
Hypernatraemia
Hypernatraemia is an independent predictor of mortality. DOI: 10.1093/ndt/gfm831. It is completely avoidable. This downloadable 1 page guide outlines causes, diagnosis and treatment. Hypernatraemia-guidelineDownload
Studies To Remember 2017 By! #FOAMed #FOAMcc #POCUS #visualabstracts
I thought I would post this out just before the chimes of 2018 begin. Many thanks to David Lyness and our partner site (Propofology), for allowing us to feature these fabulous summaries. Many of these came direct from the crew at The Bottom Line, as they continue to tirelessly bring us many of these studies... Continue Reading →
Best of #FOAMed #FOAMcc #POCUS – July (1)
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 →
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 →
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 →
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 →
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 →
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 →
