LITFL Review 249

Welcome to the 249th 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

Swami discusses the process of thin-slicing in the ED: “the pathophysiology and relative illness of patients on the spectrum are different; [not] apply[ing] the concepts of management of one of the spectrum to the other end…allows us to tailor our management to our patients and maximize good outcomes”:. This SMACCDUB talk also saw the inception of the soon to be (in)famous term, BFC. [JS]

The Best of #FOAMed Emergency Medicine

• The SGEM is back with another SGEM Hot Off the Press with Justin Morgenstern and Rick Body joining Ken Milne to talk high sensitivity troponins. [AS]
• We all know it’s not the right thing to do so why do we keep performing abdominal x-rays for abdominal pain? Rob Fenwick dips his feet into the evidence base with this excellent summary courtesy of HEFT EMCAST. [SL]
• With World Sepsis Day taking place this week Becky Maxwell and Chris Connolly discuss the practical implications of the recent NICE sepsis guidelines. [SL]

The Best of #FOAMcc Critical Care

• Extubate overnight or wait till morning? Josh Farkas discusses a recent observational paper and provides some insights. [SO]
• Are nurses non-inferior to physicians when it comes to inter-hospital transport of patients? A recent paper on this topic is reviewed by the Bottom Line this week. [SO]
• The Maryland Critical Care Project has a wonderful podcast on Family Intensive Care Syndrome. A real eye opener. [SO]
• A lot of us will be performing echo’s to look for the presence of pericardial effusion, this post from Cliff Reid will help structure your management once you’ve found the effusion. [SL]

The Best of #FOAMres Resuscitation

• St Emlyn’s take on the RINSE trial looking at prehospital cooling post cardiac arrest in this week’s journal club. [SO]

The Best of #FOAMtox Toxicology

• Here are 10 great pearls from the North American Congress of Clinical Toxicology, courtesy of Nadia Awad. [SO]
• Emdocs continue their list of FOAMed resources with a superb bunch of toxicology links. [SO]

The Best of #FOAMus Ultrasound

• Wow. A completely free online focused echocardiography course, courtesy of Stanford University, is now available. Thanks to Jonathan Henry (@emergencyecho) for the heads up! [SO]

The Best of #FOAMim Internal Medicine

• Common Intern Issues from the uncommonly good Louisville Lectures.

The Best of #MedEd FOAM and #FOAMsim

• So much SMACCDub goodness. Michelle Johnston talks about dystopian literature and what it can teach us about our own future. [AS]
• A new Simulation education powerhouse, Debrief2Learn, kicked off this month. Great blog post on the question: is there more than one way to debrief? [JS]
• Simulcast features a discussion on starting research in simulation in your program. [AS]

LITFL Weekly Review Team

Reference Sources and Reading List

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