LITFL Review 155
Welcome to the 155th 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
Cricoid pressure/force continues to be a contentious point amongst critical care practitioners. Where did it come from? The Bottom Line review and critique the original paper by Sellick. [SO]
Insight into the mind of Scott Weingart. How the master of logistics gets things done outside of the clinical area. [AS]
The Best of #FOAMed Emergency Medicine
- Brilliant post from George Kovaks via EMCrit on Antifragility in the Practice of Emergency Medicine. Making errors leads to healthy growth. We must embrace risk and the unknown. [AS]
- A whole new level of tPA in ischemic stroke debate. Jerome Hoffman and Greg Albers (ATLANTIS investigator) square off. A must see. [AS]
- POCUS can reduce time to diagnosis and thus, time to disposition in patients with suspected small bowel obstruction. emDocs.net reviews the literature behind US for this presentation. [AS]
- Coding in the ED, leave it to the bean counters……well maybe not! This podcast from the St. Emlyns crew gives you a sound overview about ED finances in UK and gives you an insight into how you can make them work for you. [SL]
- Opiate use continues to be a growing problem in the ED so having honest discussions with patients on this topic is a vital part of our work. Read tips from the experts on EdintheED.com. [AS]
- How do you differentiate myopericarditis from acute MI in the ED? Delve into this nuanced EKG interpretation with Dr Smith. [MG]
- emDocs has a great evidence based review on the presentation of acute aortic dissection. [MG]
The Best of #FOAMcc Critical Care
- NeuroRAGE Podcast out featuring Oli Flower, Mark Wilson, Cliff Reid, Karel Habig and Chris Nickson. The team discusses neurocritical care resuscitation, blood pressure goals and more. [AS]
- Everything you ever wanted to know about non-invasive hemodynamic monitorsfrom Haney Mallemat at SMACC Gold. [AS]
- More fantastic literature reviews from The Bottom Line team with a paper on apnoeic oxygenation to round off this weeks RSI theme. Great work! [SL]
- Sepsis protocols continue to come under fire after ARISE and ProCESS. Pulm CCM offers a nice critique of the critiques lobbied against these trials. [AS]
- Master anaphylaxis with an excellent session from SMACC Gold by Rose. [SO]
- Essential Critical Care is a superb new resource from Todd Fraser in Australia. Check out his awesome review of the CALORIES trial as a starting point. [SO]
- Rana Awdish gives a heart-wrenching lecture on Empathy in Critical Care. It’s a skill that we can all learn- she even has an app to help. [SO]
- Should we invest in mobile cooling ambulances to start cooling intra-arrest? The St. Emlyn’s journal club reviews and critiques the evidence behind this practice. [AS]
- Intensive discusses everything you need to know about tracheostomy emergencies in this three part series. [AS]
- The Bottom Line offers an excellent, succinct dissection of the recent Delayed Sequence Intubation article from Weingart et al. [AS]
The Best of #FOAMtox Toxicology
- Could it be poison? Mark Little gives us a construct to create a clinical approach to the patient with a suspected envenomation. [AS]
The Best of #FOAMus Ultrasound
- The Maryland CCP have yet another great echo lecture! This time it’s Dan Hasse on Echo evaluation of the right ventricle. [SO]
The Best of #FOAMped Pediatrics
- SonoKids covers detecting pneumonia on ultrasound – should we be able to avoid chest x-rays altogether? [TRD]
- Brad Sobolewski summarises a recent paper suggesting that we should be using dexamethasone rather than prednisolone in children with acute exacerbations of asthma. [TRD]
- Don’t Forget the Bubbles begins a new series on Medication Safety Practices. [AS]
LITFL Weekly Review Team
LITFL RV 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] (emDOCs.net)
- 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] (PulmCCM)
Reference Sources and Reading List
LITFL Review
#FOAMed Updates
New Jersey Emergency Physician with academic focus on resident education and critical care in the ED. Strong supporter of FOAMed and its role in cutting down knowledge translation | @EMSwami |