LITFL Review 284

Welcome to the 284th 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

The EM Nerd eloquently reminds us that simplifying quality care to a simple time metric doesn’t work in STEMI and it doesn’t work in sepsis. Does time to antibioticsmatter? Yes. Does it represent quality of care? Not necessarily. [AS]

The Best of #FOAMed Emergency Medicine

• ESR + CRP may not be as good as you think for aiding in the diagnosis of septic arthritis. Check out the numbers from CanadiEM. [AS]
• EM Updates discusses the different ways to confirm an ETT. [AS]
• Simon and Rob discuss TXA in PPH, OHCA and thrombolysis in PE this month in the Resus Room Podcast. [AS]

The Best of #FOAMcc Critical Care

• There are lots of airway checklists around but this one from the Alfred ICU is a nice addition to the group. [AS]
• Josh Farkas discusses the management of post-extubation stridor in an eloquent Pulmcrit post. [SO]
• The Bottom Line review the INSTINCT trial comparing Intravenous immunoglobulin to placebo in necrotising soft tissue infections. Great stuff! [SO]
• Celia Bradford takes a look at ATHOS-3- the new trial looking at the use of angiotensin II as a vasopressor in septic shock- in another impressive review from the Bottom Line. [SO]
• The Mastering Intensive Care Series by Andrew Davies goes from strength to strength; here he has a fantastic discussion with Craig French from Western Health. [SO]

The Best of #FOAMres Resuscitation

• The iSepsis project is a new collaboration between Scott Weingart (of EmCrit) and Paul Marik from Norfolk. Their first post discussing clinical features of sepsis is out now- take a look. [SO]

The Best of #FOAMus Ultrasound

• Mike Schick has some fabulous images of gastric dilatation in his Sono of the Week. [SO]

The Best of #MedEd FOAM and #FOAMsim

• Michelle Johnston discusses what it means to be the Emergency Physician in Charge – it’s challenges, longings for patient interaction and necessary avoidance of worthless meetings. [AS]
• It’s not as easy and clicking play. Vic Brazil discusses the right way to use videos as a teaching adjunct. [AS]

LITFL Weekly Review Team

Reference Sources and Reading List

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