#FOAMed

What should a departmental wellbeing plan prioritise? Iain Beardsell adapts a hierarchy of needs to emergency care, starting with food, water and basic facilities, then considering safety, belonging and meaningful appreciation before the optional extras of wellbeing initiatives.

Iain and Simon revisit April 2021 on the St Emlyn's blog, including how prior beliefs influence critical appraisal and the emerging discussion of post-vaccine headache and VITT. The round-up also includes Peter Brindley's reflections on FOAMed quality and recognition.

A review of the 2021 anaphylaxis guideline update, linking the underlying physiology with emergency treatment. Iain Beardsell discusses early intramuscular adrenaline, the changing roles of antihistamines and steroids, and the guideline's approach to observation and discharge after a response to treatment.

Why can clinicians read the same evidence and reach different conclusions? Simon Carley uses a Bayesian analogy to explore how prior beliefs shape critical appraisal and thresholds for changing practice, suggesting ways to recognise those beliefs before interpreting a new paper.

Iain and Simon's March 2021 round-up covers RECOVERY results, trauma triage, cricothyroidotomy and COVID-19 thromboprophylaxis. The episode also discusses emerging concerns about vaccine-induced thrombosis, alongside the FRCEM revision guide and changes to undergraduate medical education.

An April 2021 discussion of post-vaccination headache as evidence about vaccine-induced thrombosis and thrombocytopenia was emerging. It explores VITT, cerebral venous sinus thrombosis and the role of clinical probability, targeted investigation and specialist input, reflecting the uncertainties and guidance available at that time.