LITFL Review 322

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LITFL review

Welcome to the 322nd 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 CumminsThe Intensive Care Network have more podcasts from the CICM ASM. A new batch focusing on liver disease have just been released. Here’s the excellent Julia Wendon on “Liver disease: when to stop”? [SO]

The Best of #FOAMed Emergency Medicine

  • Don’t get blindsided in the ED–check out this review of the basics of globe rupture at EMDaily. [RP]
  • Nice review by EM Docs on the new AHA/ASA Ischemic Stroke Guidelines.  We see patients with stroke on almost every shift and it is essential we are up to date with the evidence as many interventions are time sensitive. [SR]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Great podcast from the EMCrit crew on fluid resuscitation in critical burn patients.  Don’t bolus fluids, start at 500cc/hr, say goodbye to the parkland formula (Use 2cc/kg for %BSA burned over 24hrs, except in electrical burns use 4cc/kg), Titrate fluids based on UOP of 30 – 50cc/hr.  If UOP >50cc/hr, decrease fluids by 20 – 30% per hr and if UOP <50cc/hr, increase fluids by 20 – 30% per hr. [SR]
  • Wonderful summary by the REBELEM crew on simplifying mechanical ventilation (part 1) [LP]
  • Todd Fraser brings us a podcast with Stephen McDonald on the ARISE-Fluids trial, discussed at the ANZICS CTG meeting last week. [SO]
  • Deranged Physiology have an updated article on the use of troponin in critical illness. [SO]
  • The EPaNIC trial comparing early vs late parenteral nutrition is reviewed by Emma Ridley for the Bottom Line. [SO]

The Best of #FOAMus Ultrasound

  • Check out this mini-series of critical care POCUS articles from the UltrasoundGEL & @RCEMLearning team [LP]
  • Paediatric Ultrasound pearls from this list of tweets on ultrasound podcasts [LP, JSh]
  • How to pimp your B-lines in the time it takes to finish one cup of coffee.  ACEM trainee Kieran Sanders gives us some caffeine-fuelled tips on this important artefact. [LP]
  • The long and short of intravenous access from Aidan Baron. [LP]

The Best of #FOAMpeds Pediatrics

  • A great way to remember the work up of the stable fussy infant via Tim Horeczko.  IT CRIES: Infection, Trauma, Cardiac, Reaction/Reflux/Rectal, Intussusception, Eyes, Surgical. [SR]

The Best of #FOAMim Internal Medicine

  • A new Lecture is up from Louisville: learn about Cystic Fibrosis with Molly Howsare. [SO]

The Best of #MedEdFOAM and #FOAMsim

  • The question period at the end of a lecture can be anxiety provoking but not after you read this “any questions?” post from Ross Fisher. [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: Mar 12, 2018 @ 7:58 am

LITFL Review 322 Marjorie Lazoff, MD

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Author: Marjorie Lazoff, MD

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