LITFL Review 306

LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog

LITFL review

Welcome to the 306th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.

The Most Fair Dinkum Ripper Beauts of the Week

Nick CumminsRebelEM unleashes his top 10 pearls from ACEP17 [LP]

EPMonthly published an ER account of the huge number of ‘big sick’ folks in the wake of the mass shooting in Vegas.  Humbling and inspiring.  [CC]

The Best of #FOAMed Emergency Medicine

  • Steve Smith reviews a great case of NSTEMI and the guidelines of which NSTEMI patients warrant emergent cath lab. [SR]
  • Two reviews from Rory Spiegel highlight the problems with problematic study designs. First he reviews the ORBITA trial, which looks at whether PCI improve burden of symptoms in stable angina. Second, he  breaks down a recent paper published on opioid combo medication vs non-opioid combo medication for extremity injuries.  [SR]
  • The ALIEM AIR-Pro series is back yet again with a curated collection of the best neurology-based FOAM resources from around the web. [RP]
  • The Journal of Emergency Medicine has published their November audio summary. [MG]
  • ERcast has a segment on gunshot to the groin – how do you control bleeding where you can’t compress it? [MG]
  • This weeks’ EM Clerkship podcast is a master class on diarrhoea. [MG]
  • Rollcage Medic’s podcast updates us on the literature for concussion in motor sports [MG]
  • This week’s Roshcast is boards review on some GI complaints and more [MG]
  • CRACKcast covers Rosen’s 9th edition content on acid-base and electrolytes this week. [MG]
  • Nice core content post on suture types as well as some suggestions for how to select the correct material for a given repair. [SR]
  • Does early TXA save lives in trauma? Janos Baombe dissects a recent meta-analysis that’s been making waves on Twitter. [SO]

The Best of #FOAMcc Critical Care

  • Venous Excess and the Myth of Venous Return… Everyone loves Guyton diagrams, right? 1000 words of physiology, with none wasted. [CN]
  • Hopefully you already know about–and subscribe to– the Critical Care Reviews Newsletter. Regardless, there’s a great bunch of free-to-access articles in this week’s ‘topic of the week’, Neurocritical Care. [CN]
  • Would a specific strategy improving ICU admissions in those over 75 years improve outcomes? That’s what the ICE-CUB 2 study set out to do, and it’s reviewed this week by David Slessor for the Bottom Line. [SO]
  • Deranged Physiology has updated some of its topics: Cardiac arrest post cardiac surgery, ventricular dysrhythmias and defibrillation, and Therapeutic hypothermia for TBI. Enjoy! [SO]

The Best of #FOAMres Resuscitation

  • Our own Chris Nickson peer-reviewed Cardiac arrest on ECMO… does it still count? [ML]
  • Justin Morgenstern has had a great series on airway management. In part 2, he discusses is your patient ready for intubation. [SR]

The Best of #FOAMtox Toxicology

  • RCEM has a great segment on paracetamol (acetaminophen) overdose. [MG]

The Best of #FOAMus Ultrasound

  • A case presentation by Cleveland Medical Center on the utility of point-of-care ultrasound in a cardiac arrest patient [JSh]
  • A great wrap up of the evidence for using POCUS to identify a source of sepsis in ED patients from the UltrasoudGEL team! [CMD]
  • Hernias the sequel (part 2) is now showing on Ultrasound Podcast. [LP]
  • Master your EFAST with this POCUS twitter moment collection from the @UTS_Australia crew, which includes our own Jeffrey Shih. [CMD]
  • TEE can be invaluable in managing the patient on ECMO as demonstrated in a great case from Rob Arntfield. [SO]

The Best of #FOAMped Pediatrics

  • Don’t miss the SCFE! The team at Don’t Forget the Bubbles presents a short and sweet infographic on slipped capital femoral epiphysis. [RP]
  • Fat, fertile, female, and…fourteen? Cholecystitis is not just an adult issue, so Pediatric EM Morsels gives us this review of acute cholecystitis in the pediatric patient. Hint: it’s not always about the stones! [RP]

The Best of #FOAMim Internal Medicine

  • The Journal of Addiction Medicine is not FOAM, but it has a new podcast that is! The first episode is an in-depth discussion of opioid agonist therapy in pregnant women and the challenges of peri-operative analgesia among women undergoing c-section. [RP]
  • Check out this podcast from The Healthy Debate’s Rounds Table, the first half of a lecture from the CSIM Annual Meeting detailing the first 2 of this year’s top 5 papers in internal medicine. [RP]
  • Easy to stay awake during the video lecture on Obstructive Sleep Apnea by Louisville Lectures. [ML]

The Best of #MedEd FOAM

  • Michelle Lin and Craig Newgard, in true FOAM fashion, share a template of how to write a successful journal manuscript. [SR]
  • Anton Helman puts together a great podcast on burnout and promoting wellness in EM. [SR]
  • Ross Fisher implores us to show some emotion when presenting: “… if as a presenter you show no passion for your topic, neither will the audience. If you care about your topic, show it; it’s infectious.” [CN]
  • If you debrief (anything)… Check out the PEARLS Debriefing Tool now available from Debrief2Learn. [CN]
  • The KeyLIME crew discuss the “already-classic” Riskin et al (2015) paper on the impact of rudeness on medical team performance. [CN]
  • Want to study a ‘taken-for-granted-truth”? You might want to read ICENet Blog’s latest #AppliedMedEdMethods101 post on Critical Discourse Analysis [CN]

News from the Fast Lane

  • The Critical Care Compendium has been graced with an entirely new entry on Mechanical CPR – is it good, bad, or somewhere in the middle? Also, the Fluid Bolus Therapy entry has been updated with the findings of the CLASSIC trial and an important study by Andrews et al (2017) in JAMA, which showed that goal-directed resuscitation of hypotensive septic patients in Zambia led to more deaths. Finally, Cytomegalovirus (CMV) and the Critically Ill has had a spruce up too. [CN]
  • Andrew Davies melds minds with the brilliant Jack Iwashyna in the 20th episode of Mastering Intensive Care. There’s also another round of FFFF and a Jellybean with Wisam Al Bassam. [CN]

Reference Sources and Reading List

  • Emergency Medicine and Critical Care blog/podcast list
  • LITFL Global Blogroll
  • FOAMEM RSS feed syndication for global FOAM
  • #FOAMed – #FOAMcc – #FOAMres #FOAMped – #FOAMtox – #FOAMus – #FOAMim – #FOANed

Brought to you by:

  • Anand Swaminathan [AS] (EM:RAP, Core EM,REBEL EM and The Teaching Institute)
  • Chris Connolly [CC] (RCEMFOAMed, FOAMShED)
  • Chris Nickson [CN] (RAGE, INTENSIVE and SMACC)
  • Cian McDermott [CMD] (POCUS Geelong, SMACC)
  • Jeffrey Shih [JSh](ALiEM)
  • Luke Phillips [LP] (POCUS Geelong)
  • Manpreet ‘Manny’ Singh [MMS] (emDOCs.net)
  • Marjorie Lazoff [ML] (TandemHealth)
  • Mat Goebel [MG]
  • Matt Siuba [MS]
  • Philippe Rola [PR] (Thinkingcriticalcare)
  • Salim Rezaie [SR] (REBEL EM, The Teaching Institute)
  • Segun Olusanya [SO] (JICSCast, The Bottom Line)
  • Rick Pescatore [RP] (EM News UC:RAP)

Last update: Nov 13, 2017 @ 10:04 am

LITFL Review 306
Marjorie Lazoff, MD

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Author: Marjorie Lazoff, MD

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