LITFL Review 308

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 308th 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 CumminsThis week’s ERCast chats with Ashley Liebig about 3 things we can do to improve our overall well-being and stress response: Cognitive reframing, visualization + mindfulness meditation. Plus a link to a cool free app! [AS]


The Best of #FOAMed Emergency Medicine

  • Some Like it Hot . . . and others get sepsis without a fever. The SGEM welcomes our own Jesse Spurr to discuss the association between fever and outcomes in sepsis. [AS]
  • Fantastic literature review of recent publications via Justin Morgenstern and Casey Parker. [SR]
  • Avoid the ‘roid! The PulmCCM team reviews a recent JAMA study that found no benefit to the use of oral steroids in uncomplicated lower respiratory tract illness. [RP]
  • Incredible case via Steve Smith reminding us that catching occlusions early means we can save myocardium and, not to fall prey to name badge bias. [AS]
  • A one stop shop for the most up to date literature on contrast not causing acute kidney injury by Justin Morgenstern and a great deep dive on this literature by Anton Helman. [SR]
  • Nice tips from the Trauma Professional’s blog on the approach to pneumomediastinum after a fall (blunt trauma). Also, in But the radiologist made me do it!, we are reminded that clinical correlation isn’t recommended, it is mandatory! [CN]
  • How do you deal with autistic patients in the ED? ERCast has some answers. [MG]
  • The October audio summary of the Journal of Emergency Medicine is out. [MG]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • The OpenAirway team ask Should you use an introducer (bougie/stylet)? Their answer is ‘yes’ (if you’re intubating a mannequin, at least). [CN]
  • I’m starting to get the feeling that the Surviving Sepsis Campaign Guidelines aren’t so popular in Brazil… ICURevisited does some dissection in The “New” Surviving Sepsis guidelines: The good, the bad and the ugly! [CN]
  • ResusCast is back with another roadside to resus episode, this time focusing on traumatic arrest. [MG]
  • A one stop shop for the most up to date literature on contrast not causing acute kidney injury by Justin Morgenstern and a great deep dive on this literature by Anton Helman. [SR, MG]
  • Can you reliably rule out long QT by looking at the R-R interval? Steve Smith guides us through the literature. [MG]
  • The International Fluid Academy Conference finished on the 25th of November – with up to date blogs from every session. Covering ultrasound, cardiovascular monitoring, and fluids, there’s lots to read here! [SO]

The Best of #FOAMus Ultrasound

  • The role of POCUS in optimizing pre-intubation management: a discussion with our own Cian McDermott, hosted by our own Phillipe Rola on his web site (Alas, the audio is not great but the discussion is interesting!) [JSh]
  • The guys at UltrasoundPodcast are at it again with a review of the article on  the PART method, a safer method of placing US-guided subclavian lines [JSh]
  • Do patients with PEA & organised cardiac activity on ultrasound have improved survival? UltrasoundGel Podcast discuss the latest sub-analysis paper from the Reason Trial  [LP]
  • @5minsono shares 5 POCUS tips for scanning adults and pediatrics from WCUME featuring Russ Horowitz and our own Cian McDermott [ML]

The Best of #FOAMtox Toxicology

  • Leon Gussow at The Poison Review adds his insight on the JAMA article comparing ibuprofen and acetaminophen to oxycodone that took the FOAMed world by storm. [RP]
  • Can THC cause myocarditis? Hear the discussion on Toxcast. [MG]

The Best of #FOAMped Pediatrics

  • It’s not all button batteries and quarters. Kids get esophageal food impaction as well! Sean Fox at Pediatric EM Morsels gives us some top tips in managing food impaction in our smallest patients. [RP]
  • Self-harming behavior among adolescent females is rapidly becoming an epidemic. Do not miss this important discussion from The Methods Man about a recent JAMA research letter detailing this troubling trend. [RP]
  • This week’s EM Clerkship podcasts is all about paeds. [MG]
  • RoshCast has some great boards review material, mostly paeds. [MG[

The Best of #FOAMim Internal Medicine

  • Take a listen to this steady-handed review of tremors from The Curbsiders, where you’ll learn to differentiate the benign causes of tremor from the more alarming ones. [RP]

The Best of #MedEd FOAM and #FOAMsim

  • Simulcast Episode 11 is out and features an interview with Kyla Caners from  It is packed with tips about effective simulation scenario design. Meanwhile, Ben Symons does an ALiEM MEDiC X-over Wrap: The Case of the Difficult Debrief with Brent Thoma and Andrew Hall that teases out the many complexities of a challenging debriefing situation. [CN]
  • There’s been some really great stuff on the ICENet blog recently. Educators in times of controversy explores the prickliness of teaching controversial topics and provides real food for thought for educators about how to do this well. Then KeyLIME Podcast  Episode 148 – The Flipped Classroom: what is the evidence? tackles the hot, hot education topic of ‘flipping the classroom.” [CN]
  • Debrief2Learn teamed up with Simulcast to do X-Over: Faculty Development for Simulation Educators and Researchers. Topics explored include the challenges in developing simulation educators and strategies to build capacity for simulation researchers. [CN]

News from the Fast Lane

  • Don’t miss out on your weekly dose of emergency medical trivia in this week’s Funtabulously Frivolous Friday Five! [CN]
  • ICU Management & Practice have just published my article on Free Open-Access Medical education (FOAM) and Critical Care: the nature of FOAM, the pluses, and even the minuses 😉 [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] (
  • 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 27, 2017 @ 8:47 am

LITFL Review 308
Marjorie Lazoff, MD

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Author: Marjorie Lazoff, MD

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