LITFL Review 151

Welcome to the 151st 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 Global FOAM.

The Most Fair Dinkum Ripper Beauts of the Week

Simon Finfer (@icuresearch) should need no introduction… His talk on ICN is essential listening if you want to understand the importance of critical care research and how it works. Listen to Finfer: The Dark Side of Research NOW. [CN]

Last week marked the 5 year anniversary of LITFL and Mike Cadogan shares with the FOAM world 5 lessons he’s learned over the last 5 years. Mike’s contributions to FOAM have been limitless and impossible to quantify. The tips here are critical to all the educators out there looking to make an impact. [AS]

What exactly is “pseudo PEA”? The ED ECMO podcast tackles this question, and suggests a new way to think about PEA arrest. [MG]

Unthinkably awesome- the “establishment” are embracing FOAMed! The UK College of Emergency Medicine has launched its rather excellent FOAMed website, with weekly updates of FOAMy goodness- and mapped out to the UK EM curriculum. This really sets the bar high. Other colleges please take note… [SO]

The Best of #FOAMed Emergency Medicine

• What’s the deal with haloperidol allergies? PulmCrit gives an excellent review of what a haloperidol allergy may mean and what to look out for. [AS]
• If haven’t heard of the GoodSam app yet, then you probably won’t be reading The LITFL Review anyway… Check out Free Open Access RESUSCITATION – the GoodSamApp with Mark Wilson on StEmlyns [CN]
• Sometimes the hardest part about reading an EKG is deciding where the j-point is. This week Stephen Smith features a case entitles “Left Bundle with Convex ST Segment: Where is the J-point?” [MG]
• How acute is that MI? Can you tell from the EKG? Find out in another great casefrom Dr Smith. [MG]
• You may have heard of the Vancouver Chest Pain rule, but you probably haven’t heard of the evidence externally validating its use. This week Amal Mattu reviews the literature on his Updates in Resuscitation podcast. (direct)  [MG]
• Amal also teaches the differential diagnoses of right axis deviation pertinent to the emergency department on his Emergency ECG Case of the Week. [MG]
• PHARM Podcast 104 was released this week with Levitan and Strayer debating VL vs DL. Their conclusions may surprise you. [MG]
• Ian Beardsell of St Emlyn’s discusses the four hour target in emergency medicine in his incredibly irreverent post on the Ignored Drug Scandal in Emergency Medicine. [SO]

The Best of #FOAMcc Critical Care

• More reviews from The Bottom Line- haloperidol prophylaxis to prevent delirium (the HOPE-ICU trial) and the Lancet 2003 trial on selective digestive decontamination. [SO]
• Steve Philpot from the Alfred summarises some of the challenges we and our patients face when talking about death and dying in this SMACC Gold talk. [SO]
• Jon-Emile Kenny describes the rather complex, but endlessly fascinating, haemodynamics of prone ventilation in 1000 words. [SO]

The Best of #FOAMtox Toxicology

• The Poison Review has a wonderful piece reminding us to consider haemodialysis in the treatment of paracetamol overdose. [SO]

The Best of #FOAMus Ultrasound

• Excellent look at the potential downsides of POC US from Rory Spiegel and a challenge for US research to move past diagnosis to evaluating improvements in patient centered outcomes. [AS]
• Phillipe Rola was so impressed by the above article he followed up with some of his own– great insights from an ultrasound master. [SO]
• Wondering what ultrasound guided pericardiocentesis looks like in practice? Phillipe Rola (@thinkingcc) has a great video posted here. [SO]
• Ultrasound of the Week features a case of pacemaker false capture. [MG]
• Sonokids has a great summary of the recent international evidence-based recommendations for focused cardiac ultrasound. [SO]

The Best of #FOAMped Pediatrics

• KIDS (Kids Intensive care and Decision Support) is a 24 hour referral, coordination, advice and transport service working out of the West Midlands in Birmingham, UK. All of their guidelines and SOPS are available via an awesome free app here. [SO]
• More fantastic resources from the Severn Emergency Medicine team on paediatric acute presentations. [SL]
• Don’t Forget the Bubbles looks at thrombocytosis in children – is it just benign? [TRD]

The Best of #MedEd FOAM and #FOAMsim

• Build your own escharotomy man – a simulator for everyone by LITFL’s Ed Burns (currently working with the awesome Sydney HEMS crew). [CN]

LITFL Weekly Review Team

Reference Sources and Reading List

• #FOAMed – #FOAMcc – #FOAMres
• #FOAMped – #FOAMtox – #FOAMus
• #FOAMim – #FOANed