Fluid Therapy Part 1 – Why should I bother about the ebb and flow phase of shock? An illustrative case report. #FOAMed #FOAMcc #POCUS

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 →

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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 →

See our new Resus guidelines section #FOAMed #Resuscitation

Click on the menu bar and you'll get access to download all of the relevant resus algorithms for: Revalidation / update purposes To avoid looking like a muppet when you pitch up on the wards to help To do what we are all supposed to do (possibly save some lives)! Assistance with prognostication

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 →

Lactate…is the crystal ball we all need?

So we all hang on this as a prognosticator, as well as a gauge of the state of our patients both on the unit and prior to coming up to us. But should we be focussing on Lactate as much as we think we should? Is it the 'magic bullet' to adequate resuscitation? A bit... Continue Reading →

Do we go for ‘Goal’ or do we follow our instincts??…EGDT; the news

So we awaited the results of the proMISe Trial with baited breath and we have seen the results of ARISE / proCESS. The news from this was expected to perhaps be different, would the wheel be re-invented....or not?! The answer was unsurprising in the end. EGDT does not appear to alter overall 90 day mortality. What did the previous 2... Continue Reading →

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