#FOAMed

How common is pituitary dysfunction after serious head injury, and what should clinicians do about it? This 2014 journal club reviews a meta-analysis of patients requiring critical care, distinguishing evidence of endocrine abnormalities from unanswered questions about screening, treatment and outcomes.

A report from Retrieval 2014 in Glasgow, with a recorded talk on the first hour of paediatric sepsis aimed at generalists who care for children. Simon Carley also shares conference highlights on retrieval leadership, resilience, simulation and prehospital care.

Why can acute dystonia be mistaken for anaphylaxis, anxiety or neurological disease? This 2014 clinical review explores varied presentations, medication-related causes and diagnostic anchoring, alongside treatment considerations and the importance of reconsidering the diagnosis when the picture does not fit.

PECARN, CHALICE or CATCH: how should we compare decision rules for children with head injuries? This 2014 journal club examines a prospective comparison, weighing sensitivity against specificity and exploring how sample size, confidence intervals and the handling of observation affect the apparent winner.

Natalie May reflects on feeling like an impostor while speaking at SMACC Gold in 2014. Her account explores the pressure of teaching people whose opinions matter deeply, the support of the FOAM community and finding value in a contribution despite persistent self-doubt.

Could ROTEM help identify coagulation problems beyond trauma patients in the resuscitation room? This 2014 journal club reviews a small study in hypovolaemic shock, examining recruitment difficulties, the distinction between correlation and agreement, and the limits of an early proof-of-concept study.