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Beta-blockers​ in sepsis…the biggest oxymoron since​ the hard collar!? #FOAMed #FOAMcc #POCUS

Written by: Dr Hannah Gardner & Dr Helen Vesey (ICU Fellows) Peer reviewed by: Dr Jonny Wilkinsoin & Dr Dave Popple Intro and background to this... Every year, there are at least 250,000 cases of sepsis in the UK and 52,000 deaths. According to the ICNARC data from 2010-2013, there were 383,314 admissions to critical... Continue Reading →

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Best of #FOAMed #FOAMcc #POCUS finds – December (2)

A final happy Christmas to you all! This episode features loads of POCUS images, many of which you have kindly shared over Twitter. Thanks to all concerned and I have acknowledged you where I can. There is also a lot on flu, ARDS, OOHCA, less is more in sepsis and our usual run of infographics... Continue Reading →

iFAD 2017 – #IFAD2017 #FOAMed #FOAMcc #POCUS possibly the best meeting in the world!

What was it about?! The aim of this sixth edition meeting is to review recent advances in fluid management, and hemodynamic and organ function monitoring in the critical care setting in a comprehensive manner for intensivists, anaesthesiologists and emergency physicians as well as interested internists and surgeons. However the meeting will deal with any broad... Continue Reading →

‘EGDT kills you’!! Are we being to harsh?! #FOAMed #FOAMcc #POCUS

Rivers started it all off and things seemed unbelievable...in fact, perhaps, to good to be true! EGDT was a phrase we were going to hear more and more on ITU and any meeting we sat in. But what's happened recently!! It has all been flipped on it's head. The problem came when 3 large RCT's... 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 →

Risk factors, host response and outcome of hypothermic sepsis #FOAMed

Click here to read more, courtesy of critical care. Basically We know that hypothermia leads to poor outcomes, perhaps not in cardiac arrest situations where neuroprotection is the key, granted and perhaps a few other exceptional circumstances. There is evidence that it leads to worse outcome in sepsis which is interesting. There have been many... Continue Reading →

Hydrocortisone treatment in early sepsis-associated acute respiratory distress syndrome: results of a randomized controlled trial #FOAMed

This trial is worth a read. Courtesy of critical care (Click Icon) Basically They wanted to see whether sepsis-associated ARDS patients had better outcomes when given Hydrocortisone therapy. Methods They randomised patients to receive either hydrocortisone 50 mg every 6 h or placebo. What they demonstrated The patients who got hydrocortisone had significant improvement P:F ratios and... Continue Reading →

LEOPARDS…even more dangerous when you’re septic!

Intro... There has been a lot of discussion regarding the LEOPARDS trial on FOAMed recently. Particularly after the ESICM meeting in Milan. The drug Levosimendan was thought to be of some hope in the treatment of sepsis...to better current Vaso/Inotherapy we currently use (starving coronary blood flow, pushing the heart too hard and causing horrendous... Continue Reading →

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