LITFL Review 312

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 312nd 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 Cummins

SGEM often posts thoughtful “skeptical” reviews on logical-sounding procedures and treatments, as it has this week: discover the non-value of therapeutic hypothermia in convulsive status epilepticus. [MG]


The Best of #FOAMed Emergency Medicine

  • NSAIDs, acetaminophen or both in minor extremity trauma? St. Emlyn’s reviews a recent article looking at the question. [AS]
  • Crack-Cast is back with an awesome dive into skin infections. We can’t get enough of these clinical pearls. [CC/MG]
  • Beware the unexplained tachycardia…..some learning for us all with case-based quality in EM discussions from EM-Docs! [CC]
  • Ryan Radecki reminds us that while the benefits of antibiotics in upper respiratory infections (strep throat, sinusitis etc) are suspect, the harms are well established and, likely outweigh the benefits. [AS]
  • CoreEM reviews the evidence for pelvic exam in first trimester bleeding, and IVC collapsibility for fluid responsiveness. [MG]
  • Dr Smith has another great ECG case: a 70 year old woman with syncope. [MG]
  • The Journal of Emergency Medicine November audio summary is finally out. [MG]
  • RoshCast’s Episode 38 continues its free weekly sampling of content from its fee-based proprietary Q&A bank. The resource is aimed at emergency medicine and pediatric medical students and non-physician practitioners. Alas, the editorial process and primary sources of content were not found on the free web site. [MG/ML]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Do prehospital antibiotics matter in sepsis? EM in Focus discusses a recent Lancet article on the topic. [AS]
  • What are the antibiotic considerations for infective endocarditis from an EM pharmacist’s perspective? [MG]
  • The team at The Bottom Line present their top 10 trials of 2017 as ranked by the reviewers. Have you read them all? [SO]
  • Nudrat Rashid discusses her management of delirium in a top talk from the Australian College of Intensive Medicine annual meeting. [SO]

The Best of #FOAMus Ultrasound

  • Find out if POCUS affects pericardial effusion time-to-treatment [MG]

The Best of #FOAMpeds Pediatrics

  • Managing an airway emergency in a child is nerve wracking, but learning how to manage it to avoid intubation is more tricky. [MMS]
  • Learn a step-by-step technique for managing tracheostomy emergencies from Tessa Davis at DFTB. [MMS]

The Best of #FOAMim Internal Medicine

  • From the Louisville Lectures, Dr. Lushniak discusses how dermatology fits into the public health model with a focus on various skin cancers [ML]

The Best of #MedEdFOAM and #FOAMsim

  • Becoming an effective team doesn’t happen overnight, it takes choreography to provide high-quality resuscitation. Valuable free resource from Penn CC Project to take back to your shop. [MMS]
  • Emergency Medicine Ireland has a great overview of how to record and edit a podcast. [MG]
  • Simulcast has a great review of literature on debriefing. [MG]
  • Cultivating a state of belongingness as a medical student and beyond. [MMS]
  • Cliff, Nat and Geoff from the Hospital Primary (Sydney HEMS) discuss the challenges involved in helicopter transportation from the scene to a (non-major) hospital, including: how to introduce yourself, what language to use, how to integrate yourself into the team and offer support and if necessary leadership, the importance of a collaborative approach, and the critical contribution of the RT paramedic in making all this happen smoothly. For more, download their free e- or i-book, 104 Reflections from Sydney HEMS [CW]

News from the Fast Lane

  • Ben Symon offers a powerful discussion on changing the culture of safety by education and enlightening the leaders of the pack instead of simply focusing on those at the bottom. [AS]

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)
  • Craig Wylie [CW] (BadEM)
  • 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)
  • Rick Pescatore [RP] (EM News UC:RAP)
  • Salim Rezaie [SR] (REBEL EM, The Teaching Institute)
  • Segun Olusanya [SO] (JICSCast, The Bottom Line)

Last update: Dec 25, 2017 @ 9:53 am

LITFL Review 312
Marjorie Lazoff, MD

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Author: Marjorie Lazoff, MD

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