Tag Archives: FOAMed

FOAM Eye-Catchers 4

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Time for a Rethink on IV Fluids in Sepsis?

Earlier this year in March, I was fortunate enough to pilgrimage to the inaugural FOAMite mecca – SMACC (Social Media And Critical Care) Conference in Sydney. Quite frankly, it was the best conference I’ve ever attended. Some of the highlights included talks by Prof John Myburgh, in particular one on IV fluids in Sepsis, available for free via SMACC talk archive.

Recently Emcrit released a paradigm shifting lecture by Dr Paul Marik on fluids in sepsis that builds on some of the theme’s of Prof Myburgh’s talk. Not long after, Scott Weingart released his response to Dr Marik’s lecture.

All 3 talks are well worth listening to in full. However I’ve summarised some of the key concepts below as well as the FEAST study which is a landmark study discussed in both talks: Continue reading →

Bite-Sized Basics: Urgent Endotracheal Intubation

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The Urgent Endotracheal Intubation (UEI) describes the primary intubation scenario that occurs in the ED where intubation must proceed in a semi-rapid or rapid fashion due to the patient’s clinical state.

We discuss the Rapid Sequence Intubation, the mainstay of the UEI with the longest history and firmest evidence base.

In Beyond the Basics we look at alternatives to RSI including:

– Modified RSI

– Rapid Sequence Airway (RSA)

– Delayed Sequence Intubation (DSI)

– Awake Intubation

– Inevitable Surgical Airway

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Bite-Sized Basics: Preoxygenation

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This is our very first Bite-Sized Basics post and the topic is Preoxygenation.

Preoxygenation (PreOx) is a critical step performed prior to intubation or sedation to extend the period of safe apnoea. We take a look at:

– how best to perform it and the choice of Preox devices in the ED

– what to do when we run into problems achieving PreOx

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