LITFL Review 339

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LITFL review

Welcome to the 339th 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.

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The Most Fair Dinkum Ripper Beauts of the Week

Nick CumminsFirst10EM features an excellent one-stop shop for reading up on the different types of biases that are commonly seen in the literature. [AS]


The Best of #FOAMed Emergency Medicine

  • Trying to choose a NOAC giving you headaches? Check out review of apixaban and rivaroxaban from the EMPharmD. [AS]
  • How exactly do you manage the airway in a cardiac arrest? ETI? SGA? BVM? The Taming the SRU crew provide a fantastic deep dive into the evidence behind cardiac arrest airway management. [MMS]
  • Take a pause next time you decide to prescribe a macrolide for your community acquired pneumonia (CAP) patient. Look at your local resistance patterns and embrace an alternative strategy. [MMS]
  • PHEMcast talks about major incidents with providers who were there. Learn from their experiences with response, CISM, and more. [MG]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Is there a better way to treat Torsades de Pointes? And does anyone (besides me) use atropine or isoproterenol to increase base heart rhythm rate and shorten QTc? [AJB]
  • Jo Davy discusses a now classic trial of balanced solutions vs starch in the critically ill – another great contribution to The Bottom Line. [SO]
  • Want to get faster and slicker at ECMO cannulation? A wire assistant is an essential part of the team, and the ED ECMO guys tell us how that works. [SO]
  • How asleep should patients be? Bruno Tomazini discusses the adverse associations between deep sedation and mortality in the latest ICU revisited post. [SO]

The Best of #FOAMtox Toxicology

  • Fantastic post from Tox + the Hounder Meghan Spyres on the osmol gap, anion gap, metabolic acidosis and the KULTS menominic. [AS]

The Best of #FOAMus Ultrasound

  • Looking for a realistic vascular access simulator? Jason Bowman and Jacob Avila show a simple technique using a chicken breast and penrose drain. [MMS]
  • Download the free Google Play store #POCUS app Bulldog Sonobites, by @Yale_EUS, perfect for just-in-time learning [CMD]
  • Listen to @nobleultrasound talk about everyday uses of lung #POCUS from the folk at @ultrasoundpod [CMD]

The Best of #MedEdFOAM and #FOAMsim

  • Looking to start a wellness project at your shop? The WRaP EM team are developing “How to” guides on this. My personal favorite: the “Staff Resus Trolley”. [MMS]]

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)
  • Andrew J. Bowman [AJB]
  • Bruno Tomazini [BT] (ICURevisited)
  • 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)
  • Sarah Newman [SN]
  • Salim Rezaie [SR] (REBEL EM, The Teaching Institute)
  • Segun Olusanya [SO] (JICSCast, The Bottom Line)
  • Thomas C. Neal [TCN]

LITFL Review 339 Marjorie Lazoff, MD

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Author: Marjorie Lazoff, MD

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