LITFL Review 140

Welcome to the 140th 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

Scott discusses two great resources of critical care FOAM goodness on the EMCrit Wee: Rob MacSweeney’s weekly Critical Care Reviews Newsletteras well as the new, FOAM journal Critical Care Horizons – Free to Read, Free to Publish, Free to Challenge and Inspire. [AS]

The Best of #FOAMed Emergency Medicine

• Rory Spiegel delves into a recent JAMA article on the efficacy of lorazepam and diazepam in terminating status epilepticus in “The Adventure of the Dancing Men”and discusses why we’re focused on the wrong outcomes and questions. [AS]
• The EM Lyceum team reviews a number of clinical questions revolving around Monoarticular Arthritis including when to tap, the role serum and synovial fluid labs and intraarticular injections. [AS]
• REBEL EM reviews the current literature on diagnosing STEMI in the presence of a left bundle branch block. [MG]
• Check out the conclusion to an extremely challenging EKG case from the EMS 12-Lead blog. For maximum learning, read part one first. [MG]
• HQMedEd released a page full of great videos covering the basics of wound care. [MG]
• In a recent EMCrit Wee, Scott Weingart challenged us to consider whether we would prefer to commit errors of omission or commission. This week, EM Updates offers some thoughtful commentary on this, discussing the preferred error. [MG]
• Have you heard about the LINC trial, don’t want to read the full text, but would still like some valuable insight into the methods and outcomes? Look no further than Emergency Medicine Ireland’s review. [MG]

The Best of #FOAMcc Critical Care

• Don’t let the hypotensive patient get away from you. Dr. RW Donnell reviews “cognitive stop points in managing the patient with refractory hypotension” channeling his inner Weingart. [AS]
• Can we use ultrasound to reduce CT for evaluation of possible pulmonary embolism? Matt + Mike review point of care multi-organ ultrasound for PE on a great videocast. [AS]

The Best of #FOAMtox Toxicology

• Something to think about next time you try a ‘boutique’ spirit…an unusual case involving centipede-infused alcohol from EBM Gone Wild [JAR]
• Leon Gussow of the Poison Review looks at an article on adverse health effects from marijuana from NEJM [JAR]
• Heard of ZohydroER? This drug was approved by the FDA despite being voted down by its scientific committee. Leon discusses this interesting area on his blogpost [JAR]
• An interesting case report about ‘Crazy Monkey’, another synthetic cannabinoid out there, this presentation was a little different though… [JAR]

The Best of #FOAMped Pediatrics

• The PEMNetwork Blog discusses a case of testicular pain with an excellent overview of understanding testicular ultrasounds. [TRD]
• Sean Fox at PED EM Morsels reviews the prevention of submersion injuries. [TRD]

The Best of #MedEd FOAM and #FOAMsim

• Is research necessarily true if it can be reproduced? How do we improve our research methods for the future? In this talk given at Google, Dr John P.A. Ioannidis of Stanford University discusses how to improve reproducibility and research efficiency. [MG]
• No more glazed over look when reading research on new diagnostic test! Academic Life in Emergency Medicine demystified the bland-altman plot. [MG]

LITFL Weekly Review Team

Reference Sources and Reading List

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