CREAD 005- CRitical Evaluation, Appraisal and Discussion

Tweet Welcome to the fifth edition of CREAD- CRitical Evaluation, Appraisal and Discussion. This very much takes its inspiration from the work of the team over at Life in The Fast Lane which provides regular round ups of some of the many resources available via the internet which makes our learning easier. We are attempting something […]

Thoracic Aortic Dissection- by Rob Fenwick.

Tweet Thoracic aortic dissections (TAD) are a bit of a nightmare. They are difficult to diagnose clinically, which is annoying as an Emergency Department (ED) clinician, but it gets even worse when you consider it from the patients perspective…… Half of all patients who dissect will die within 48 hours if its not diagnosed, compounded […]

New Project

Tweet “Welcome to the 185th LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.” This is […]

Buccal RAE Tubes and Apneic Oxygenation- Bottom Line

Tweet   Apneic Oxygenation During Prolonged Laryngoscopy in Obese Patients: A Randomised, Controlled Trial of Buccal RAE Tube Oxygen Administration.  Heard A Toner AJ, Evans JR, Palacios AM, Lauer S.   Clinical question. Does apneic oxygenation via the mouth and a modified R.A.E tube extend the safe apnea time during prolonged laryngoscopy in obese patients. […]

Just Say Sepsis- by Nicki Credland

Tweet National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Just Say Sepsis – An overview of the report Sepsis is a leading cause of avoidable death in the UK, and kills more people than breast, bowel and prostate cancer combined. The condition occurs when the body is overwhelmed by an infection. In severe sepsis […]

Apneic Oxygenation- Is it worth doing?

Tweet Review of Apneic Oxygenation during endotracheal intubation. I first came across the concept of apneic oxygenation as an observer on a TEAM (training in emergency airway management) course several years ago. An emergency medicine registrar mentioned it as they were asked to justify their approach to a rapid sequence induction (RSI). This was rapidly poo-pooed […]

Gastric Residual Volumes

Tweet Gastric Residual Volumes – has the end come to routine checking or is caution still needed? The Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) have recently published new nutrition guidelines for critical care in the USA:  Taylor et al. 2016. Guidelines for the Provision and Assessment […]

CREAD 004- CRitical Evaluation, Appraisal and Discussion

Tweet Welcome to the fourth edition of CREAD- CRitical Evaluation, Appraisal and Discussion. This very much takes its inspiration from the work of the team over at Life in The Fast Lane which provides regular round ups of some of the many resources available via the internet which makes our learning easier. We are attempting something […]

Klint gets Water From a Rock!- by Klint Kloepping

Tweet In the pre hospital and retrieval medicine field there is always the push to put as much of the hospital out there as possible.  Scott Weingart calls It maximally invasive care everywhere.  This is not without certain hurdles and those of us involved in the work on the PHARM know this all too well.  […]

Carbon Monoxide Poisoning

Tweet Carbon Monoxide Poisoning- Rob Fenwick Introduction A recent paper by Zorbalar et al (2014) from Turkey found that an astonishing 6.4% (n=483) of patients presenting to their emergency department (ED) with a headache over the winter period were found to have elevated CO levels. Even more worryingly, in 23% of these cases, carbon monoxide […]

Crisis Resource Management…..

Tweet Much has been written in recent times about the need for health care to acknowledge and participate in training focused on non-technical skills which are vital in effectively managing emergency situations.  Lessons from aviation A common frame work often used to describe these skills is Crisis Resource Management (CRM). The origins of CRM hails from the aviation industry with […]

Blood, fluid and fat!- by Gavin Denton

Tweet What I’m Watching in September Podcasts. Maryland cc project, blood conservation.    Sickle cell emergencies, basics of fluid resuscitation, pain management and sepsis care in this vulnerable group of patients.   Pearls of the management of the critically ill obese patient.   St Emlyn’s discuss breaking bad news.   Hero worship strikes again, Levitan […]

Dr Ken Grauer- Fabulous ECG resource- by Charles Spencer

Tweet There are a number of great FOAM resources that have helped me develop as an independent cardiac practitioner. It is very hard to pick a favourite but thinking more laterally and choosing a person rather than an individual website or blog it has to be the work of Dr Ken Grauer and his ECG […]

CREAD 003- CRitical Evaluation, Appraisal and Discussion

Tweet Welcome to the third edition of CREAD- CRitical Evaluation, Appraisal and Discussion. This very much takes its inspiration from the work of the team over at Life in The Fast Lane which provides regular round ups of some of the many resources available via the internet which makes our learning easier. We are attempting something […]

CREAD 005- CRitical Evaluation, Appraisal and Discussion

Tweet Welcome to the fifth edition of CREAD- CRitical Evaluation, Appraisal and Discussion. In this month’s edition of CREAD: Gavin Denton (@dentongavin) gives us two pieces this month. First, he tries to help us understand some of the mysteries of APRV (Airway Pressure Release Ventilation) and then also breaks down a recent study on a […]

Airway and Pharmacology resources…amongst others….

Tweet I have been listening to podcasts and watching videos on the internet as part of my learning process. How many tubes for competency, this is a nice summary of evidence looking into the evidence surrounding the number of intubation so required to attain oral intubation competence. More pertinent to the occasional intubator. This is a great article on how many […]