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 134th 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
Learn from EM Nerd this week about the foibles of thrombolytics for anything but STEMI. A follow-up on his previous post, The Adventure of the Greek Interpreter, this week he revisits the lytic for submassive PE debate to discuss the new TOPCOAT trial relative to MOPETT and PEITHO. [MG, BT, CN]
Just in time for this week’s edition is Reuben Strayer’s overview of intubation options in the ED, with emphasis on ketamine-supported intubation among other options like traditional RSI, DSI, and awake intubation. When RSI isn’t the Right SI is a superb synthesis. [CN]
The Best of #FOAMed Emergency Medicine
Ken Milne at TheSGEM discusses a 2012 systematic review on the use of tamsulosin for passing ureteral stones in SGEM #71 “Like a Rolling Kidney Stone.” [BT]
What EKG changes are associated with intracranial hemorrhage? Learn about “voodoo death” from the Maryland CC Project. [MG]
Longtime podcaster and FOAM newcomer Anton Helman discusses abdominal pain – specifically mesenteric ischemia and pancreatitis – at Emergency Medicine Cases. [BT]
Can you safely adjust d-dimer cut offs with age? EM literature of note says yes. [MG]
REBEL EM teaches us about the evidence behind our obsession with EKG changes associated with hyperkalemia. [MG]
Should furosemide (Lasix) be given in the prehospital setting? EM literature of note says no, no, also no. [MG]
This week on The Trauma Professional’s Blog, we learn that bystander CPR given to those not in cardiac arrest is unlikely to do harm. [MG]
Have you ever given vasoactive medications to a chest pain patient before getting a 12 lead? This case from Dr Smith will make you think twice. Oh, the sudden cardiogenic shock case is also a must read [MG, CN]
Joe’s pick of the week is an Amal Mattu classic: Amal Mattu: Emergencies in the Geriatric Patient. Also Amal packs in the pearls with STEMI vs pericarditis on his EKG video blog. [CN]
EM Lyceum has all the ‘answers’ for the big decisions in the management of upper GI bleeding [CN]
StEmlyns does dystonia in the emergency department, and does it well. [CN]
The Best of #FOAMcc Critical Care
Learn even more about the critically ill LVAD patient in “part man, part machine” this week at the Blunt Dissection. VADs are hot stuff in FOAM right now.. [MG, CN]
Marek Nalos from the Nepean in Sydney takes on on a detailed exploration of The Myth of Lactic Acidosis. Meanwhile, also on ICN, Sarah Wesley investigates the issue of anticoagulation on peri-operative cariac surgery patients in To Thin or Not to Thin [CN]
EMCrit tackles one of my favourite topics, smoke inhalation and the potential for concomitant systemic toxicity, focussing on cyanide. Check out Podcast 122 – Cardiac Arrest after the Toxicology of Smoke Inhalation with Lewis Nelson. I also have a CCC entry on this topic here. [CN]
A huge amount of experience and expertise goes into this General Principles of Post-operative Care: When Physiology Goes Awry from the Maryland CC Project [CN]
The Best of #FOAMPed Paediatrics
Andrew Sloas from PEM ED Podcasts makes a great case for using a syringe and glue technique to remove foreign bodies from ears. [TRD]
Natalie May crowd-sourced a post on St Emlyn’s identifying the differences between parental perception and medical understanding of all things vomit-related. [TRD]
St. Emlyn’s features a head to head all out brawl this week, pitting PECARN, CHALICE, and CATCH against each other. [MG, TRD]
#FOAMTox Toxicology
What happens when marijuana gets legalized in a North American context? Check out this post and the associated podcast for what to expect if your jurisdiction is considering changing the law. [BT]
#MedEd Education and Social Media (including #smaccGOLD)
Javier Benitez at ALiEM discussed the ways that we retain (and forget) what we have learned. He also has some links to some really great videos. It is recommended reading, especially for those looking to be efficient with their studying. [BT]
Journals are starting to really take note of the power of FOAM and the power this has as an education platform. Check out EMJ Blog-How Are We Accelerating Knowledge Translation? [KG]
News from the Fast Lane
Joe puts us to the test with another tricky toxicological conundrum in Seizures, Sedation and Saliva.[KG]
Cricoid pressure… time to change? is my perspective on the utility of cricoid pressure, the fight against dogma and those willing to use it to call other doctor’s negligent, and the unfortunate storm stirred up by a now retracted parody-gone-wrong. [CN]
Guest blog from Irish born Aussie ED reg John Iliff on Should I Stay or Should I Go? [KG]
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 — EMin5 — 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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