The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
Welcome to the 128th edition, brought to you by:
Kane Guthrie [KG] from LITFL
Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles
Brent Thoma [BT] from BoringEM, and ALiEM
Chris Nickson [CN] from LITFL, iTeachEM, RAGE and SMACC
Joe Rotella [JAR] from LITFL
Mat Goebel [MG] from LITFL
The Most Fair Dinkum Ripper Beaut of the Week
There is no doubt for us that Tamara Hills’ SMACC PK GOLD video entry deserves Ripper of The Week. Tamara and her family have produced this wonderful, personal, and moving video about what happens when we don’t work well together – CRM. A must watch. [TRD, CN]
The Best of #FOAMed Emergency Medicine
An amusing take on tips for interpreting chest x-rays on Radiopaedia. [TRD]
Watch the team at St Emlyn’s torture each other with sharp needles, all in the name of NHS Change Day – LA for ABGs. [TRD]
Ryan Radecki discusses opioids this week at EMLitofNote, summarizing studies about their use in teens (Nonsensical Opioid Overuse in Adolescent Headache) and the elderly (Gently Euthanizing the Elderly). [BT, CN]
In a nice follow up to last week’s EMCrit podcast highlighting the new ACEP procedural sedation guidelines, Cliff highlights a study showing ASA grade does not correlate with complications with procedural sedation for prosthetic hip dislocations in Modernising ED sedation practice with evidence. [CN]
RAGEback: Minh Le Cong, SVT and Verapamil sees Minh Le Cong from the PHARM podcast raise his concerns about the verapmil/ SVT discussion in RAGE Session Two. Karel and Cliff counter with their response. In depth discussion borne out of critical thinking adds up to fantastic FOAM. [MG, CN]
In a great example of ALiEM’s expert peer review system, Jeffrey Kline provides commentary on on a previous post about pulmonary embolism.[BT]
Plenty of good stuff over at the Trauma Professional’s blog as always: Interesting Concept: The Abdominal Aortic & Junctional Tourniquet - though I can’t see this getting used very often… and Best Of: Off-Label Use of the Foley Catheter for penetrating traumatic wounds. [CN]
Minh over at the PHARM discusses zombie defense tactics, or combating combative patients in cardiac arrest. Spoiler alert: the answer is not to double tap. [MG]
The Pre-hospital Research Forum features an interesting review of a consensus statement on the use of Pharmacologically Assisted Laryngeal Mask (PALM) airway in the pre-hospital setting. [MG]
Two great (and surprising) cases of undifferentiated ST-elevation featured on Dr. Smith’s ECG blog and The Blunt Dissection in “How not to be deceived by ST elevation in aVL” and “Chest pain and…”. [MG]
The Best of #FOAMcc Critical Care
I’d been meaning to put a post about this on LITFL for ages… ICN feature a talk by highly regarded ANZICS CTG researcher Stephen Webb on Translating Research into Practice. Prognostician in neurological catastrophes is a tricky business, and intensivists need to know what there is to know – this talk makes it a bit easier: Oli Flower on Prognostication in Neuro Disasters . One of the authors of the game changing TTM trial talks about what it all means: Aneman: Life after TTM [CN]
Our buddies in Baltimore behind the Maryland CC Project serve up Stats 101: A Blueprint to Mastering Numeracy & Avoiding Apophenia a talk on some key statistical concepts you need to know understand the evidence (apophenia, by the way, is seeing patterns in randomness/meaningless data). Bring Lung Ultrasound To YOUR ICU reflects the growing obsession with lung ultrasound in the global ICU community. [CN]
PulmCCM delivers the take homes and discusses Resuscitation Fluids in Critical Illness (Review, NEJM) based on a review by Myburgh and Mythen. [CN]
The Best of #FOAMPed Paediatrics
What looked like some dodgy noodles, turned out be a surgical problem in this week’s x-ray vision from Don’t Forget the Bubbles.[TRD] Loren Yamamoto provides a great overview of the pathogenesis diagnosis of midgut volvulus. [BT]
A short case from GMEP to remind us that congenital diaphragmatic hernias can present well past the antenatal/neonatal period. [TRD]
The PEM Network Blog confronts a difficult issue – do we have an underlying culture of intimidation in medicine and how can we change this? [TRD]
#FOAMTox Toxicology
St Emlyn’s discusses the recent and topical paper by Bateman et. al. investigating an accelerated acetylcysteine regime for paracetamol poisoning. A nice overview of the paper including a link to the actual paper which is #FOAMTox [JAR]
Leon Gussow of the Poison Review, discusses a recent case series of hydrogen peroxide ingestion and use of hyperbaric oxygen [JAR]
#MedEd Education
Javier Benitez discusses the effect that changing educational media may have on learning in his post Does the Medium Change the Culture on ALiEM. [BT]
News from the Fastlane
smaccGOLD is rapidly approaching… It is not too late to get a ticket. While you are there form a multi-disciplinary team and try to win $5000 in the SMACC GOLD RUSH…. You’d be crazy not to! [CN]
Don’t forget to visit the FOAMcc G+ Community page to share your ideas and questions about everything critical care! [CN]
LITFL Review EM/CC Educational Social Media Round Up
Show Reference list
Emergency Medicine and Critical Care Blogroll — Emergency Medicine and Critical Care Podcasts — 123Sonography.com — Academic Life in Emergency Medicine — A Life at Risk — Bedside Ultrasound - Boring EM — Broome Docs — CCM-L — Critical Care Perspectives in EM — Dave on Airways — Dont Forget the Bubbles — Dr Smith’s ECG Blog — ECG Academy — ECG Guru — ECG of the Week — ED ECMO — ED Exam — ED-Nurse — EDTCC — EKG Videos — EM Basic — EMCrit — EM CapeTown — EMCases — EMDocs — EMDutch — Emergency Medical Abstracts — EM Journey — EmergencyLondon — Emergency Medicine Cases — Emergency Medicine Education — Emergency Medicine News — Emergency Medicine Ireland — Emergency Medicine Tutorials — Emergency Medicine Updates — EM on the Edge — Emergucate — EM Journey — EM IM Doc — - EM Literature of Note — empem.org — EMpills — Emergency Physicians Monthly — EM Lyceum —EM nerd— EMProcedures — EMRAP — EMRAP: Educators’ Edition — EMRAP.TV — EM REMS — ER CAST — EXPENSIVECARE — Free Emergency Medicine Talks — Gmergency! — Got Resuscitation— Greater Sydney Area HEMS — HQmeded.com — Impactednurse —Injectable Orange — Intensive Care Network — iTeachEM — IVLine — KeeWeeDoc — KI Docs— ER Mentor — MDaware — MD+ CALC — MedEDMasters — Medical Education Videos — Medical Evidence Blog — MedEmIt — Micrognome — Movin’ Meat — Paediatric Emergency Medicine — Pediatric EM Morsels — PEM ED — PEMLit — PEM Cincinnati — PHARM — Practical Evidence — Priceless Electrical Activity — Procedurettes — PulmCCM.org — Radiology Signs — Radiopaedia — REBEL EM - Resus.com.au — Resus.ME — Resus Review — RESUS Room — Resus Room Management — Richard Winters’ Physician Leadership — ruralflyingdoc — SCANCRIT — SCCM Blogs — SEMEP — SinaiEM — SinaiEM Ultrasound — SMART EM — SOCMOB — SonoSpot — StEmylns — Takeokun — thebluntdissection — The Central Line — The Ember Project —The Emergency Medicine Resident Blog — The Flipped EM Classroom — thenursepath — The NNT — The Poison Review — The Sharp End — The Short Coat — The Skeptics Guide to Emergency Medicine — The Sono Cave - The Trauma Professional’s Blog — underneathEM.com — ToxTalk — tjdogma — Twin Cities Toxicology — Ultrarounds — UMEM Educational Pearls —Ultrasound Podcast
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