Revision Resources

March FOAMed

March 18, 2018

Emergency Medicine is rapidly changing and to help you keep on top of new and exciting ideas we have selected some useful FOAMed articles for our users. FOAMed is a  collection of constantly evolving, collaborative and interactive open access medical education resources being distributed on the web with one objective — to make the world a better place.

Understanding Elevated Lactate

lactatesClinicians are quick to consider sepsis and hypoperfusion/ischaemia as causes of a raised lactate, but slow to include other causes in their differential. Although an elevated lactate has been shown to be associated with worse outcomes in numerous studies, not all causes of a raised lactate are sinister. It’s therefore important to diagnose the cause both to allow the right treatment and to avoid assuming an inappropriately poor prognosis.

This 12 minute video offers an approach to diagnosing the cause of elevated lactate based on an understanding of lactate physiology using a simple visual aid – a ‘lactate map’ and a memorable acronym.

http://resus.me/understanding-elevated-lactate/

Simplifying Mechanical Ventilation – Part I

Mechanical-Ventilation-Basics-765x512Mechanical Ventilation is a modality commonly used in the critically ill, but many providers, may not have a strong understanding of the basics. Emergency Medicine and Critical Care Physicians need to have a firm grasp of the basic concepts of mechanical ventilation because without it, we can do serious harm to our patients. Airway management is not complete once the endotracheal tube is placed through the cords, and the proper selection of both the ventilator mode and initial settings is essential to ensure your patient has the best possible outcomes.

http://rebelem.com/simplifying-mechanical-ventilation-part/

Acute Pancreatitis

Cullens-SignA focused review of acute pancreatitis, including epidemiology, aetiology, pathophysiology, DDx and treatments.

https://coreem.net/core/acute-pancreatitis/

Paediatric Pneumonia

Pneumonia-2017Paediatric infectious diseases have been a common topic for the PedEMMorsels and rightfully so as kids love to collect numerous viral and bacterial infections (ex, Measles, Flu, Mumps, Omphalitis). With that being said, pneumonia is often the topic of conversation in the Paeds ED and, thus, deserves special attention. We have discussed pneumonia several times previously (ex, Pneumonia Detective, Round Pneumonia, Penicillin for Pneumonia, and CAP), but recently our friends at the Section on Emergency Medicine at the AAP published a easy to follow guide to Community Acquired Pneumonia. Let is take another moment to ensure we are up to date with current recommendations for Paediatric Pneumonia.

http://www.emdocs.net/pediatric-pneumonia/

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