LITFL Review 309

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 309th 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 CumminsCliff Reid challenges us to review The Physician’s Pledge and ask ourselves where we can do better. [CN] 


The Best of #FOAMed Emergency Medicine

  • A great review on a new RCT on haloperidol to treat gastroparesis. [SR]
  • CRACKcast is serving us three great core content podcasts on rabies and viruses and bacteria. [MG]
  • Dr Smith has another great thought provoking STEMI case. [MG]
  • The PEC podcast reviews this month’s prehospital literature. [MG]
  • The November audio summary of the Annals of Emergency Medicine podcast is out, along with their special ACEP issue. [MG]
  • emDocs has a great overview of hyperacute T waves. [MG]
  • The Trauma Pro discusses splenic vascular blush on contrast CT… Extravasation versus splenic pseudoaneurysm in trauma patients. [CN]
  • The Trauma Pro also argues that it is time to simplify C-spine clearance. The post cites a recent 10,000 patient observational study and argues that CT C-spine is good enough to effectively rule out significant C-spine injury in intoxicated and obtunded patients. It is followed up with a new proposed practice guideline for C-spine clearance for discussion. [CN]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Is it the DAWN of a new era? Or are the results of a recent NEJM trial examining late neurointervention consistent with what we already know? Rory Spiegel, the EM Nerd, lends his always-compelling thoughts on the DAWN trial. [RP]
  • Jon-Emile Kenny breaks down the complex interplay between diastolic dysfunction and renal hemodynamics in the septic patient. [RP]
  • The ResusRoom podcast reviews new literature in December. [MG]
  • The Intensive Care Network has an amazing podcast  on paediatrics for the general intensivist. [MG]

The Best of #FOAMus Ultrasound

  • EMDOCS outline some pearls on the use of ultrasound to identify small bowel obstructions [LP]
  • Not certain when these were first available online, but get your free flashcards from @UltrasoundEM here [CMD]

The Best of #FOAMtox Toxicology

  • The Poison Review highlights an article that Leon calls “the best review of decontamination following a CBRN mass casualty attack I’ve seen” [CN]

The Best of #MedEd FOAM and #FOAMsim

  • Listen to master educator Michelle Lin talk to Jeff Riddell about the future of medical education and how she continues to innovate on the ALiEM podcast. [AS]
  • Becoming involved in clinical research can seem daunting and prohibitively complex. The team at Don’t Forget the Bubbles helps break down how to take the first steps in choosing and framing your research question. [RP]
  • Ross Fisher continues to share valuable insights about how to present. He reminds us that running over time is unforgivable. He warns us against overlaying images and tells is to be succinct. [CN]
  • Over at the ICENet blog Rob Cooney reviews The First 90 Days – Proven Strategies for Getting Up to Speed Faster, a useful book in an age of frequent career transitions. [CN]

News from the Fast Lane

  • Andrew Davies has a powerful discussion about personal tragedy, patient safety, and human factors with Martin Bromiley in the latest episode of Mastering Intensive Care. [CN]
  • Doug’s latest Jellybean features Steve Philpot talking communication, death, ethics, and other stuff! [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: Dec 4, 2017 @ 10:38 am

LITFL Review 309
Marjorie Lazoff, MD

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Author: Marjorie Lazoff, MD

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