LITFL Review 145

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Welcome to the 145th 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

Nick Cummins Fair Dinkum Ripper Beauts of the Week

The Ripper award this week heads over to INTENSIVE’s Steve McGloughlin who gave a fascinating infectious diseases talk at smaccGOLD on the The Dying Traveller – a must listen. [KG, CN]

The Best of #FOAMed Emergency Medicine

  • Ryan Radecki explains the difference between can and should in discussing the use of absorbable sutures for extremity and trunk lacerations [AS]
  • What’s better than an ECG? Serial ECGs, of course. Amal Mattu discusses the importance of serial ECGs in patients with ongoing or changing symptoms. [AS]
  • Chicken or the Egg?  Did the altered mental status result from the trauma or did the trauma result from the altered mental status. Amal Mattu reviews a great trauma ECG teasing out a medical cause of trauma. [AS]
  • Lauren Westafer offers a different set of ABCs in her blog post covering the basics of End of Life Care in the ED. The post also has a great lecture with audio and screen capture of slides to check out. [AS]

The Best of #FOAMcc Critical Care

  • By now you have no excuse to not have a free subscription to Rob MacSweeney’s Critical Care Reviews Newsletter rounding the week’s medical literature – FOAMcc at its best. [CN]
  • EDECMO Episode 11 – The Paris ECMO Course: Scott talks to Joe Belezzo and shares some insights from the Paris ECMO course. Fascinating stuff, though lot’s of differences from how we intensivist-led peripheral ECMO cannulation at The Alfred. Food for thought! [CN]

The Best of #FOAMtox Toxicology

  • Leon Gussow reviews a recent paper detailing two cases of patients presenting post-ingestion of laboratory-proven 25B-NBOMe and 25C-NBOMe toxicity. Marketed as ‘synthetic LSD’, this drug is definitely not LSD [JAR]
  • When is too much caffeine too much? Leon discusses an interesting case series discussing deaths where caffeine has been implicated. Not quite what the title reports but interesting read [JAR]
  • The latest episode of Toxtalk is out with this episodes discussing mustard toxicity– not the type that goes with a hot dog or a nice porterhouse steak! [JAR]
  • Ever heard of guanfacine? This extended-release, clonidine-like drug used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) has the potential to cause significant sedation even with low doses. Leon discusses at The Poison Review [JAR]
  • Want to brush up on cannabinoid hyperemesis syndrome? Leon discusses a recent review that’s worth looking at [JAR]

The Best of #MedEd FOAM and #FOAMsim

LITFL Weekly Review Team

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#FOAMed Updates

Marjorie Lazoff, MD FACP. Board certified internist with clinical background in academic emergency medicine, currently the founder of The Healing Red Pen, an editorial consulting company. Dr Lazoff is a full-time editor and strong supporter of FOAMed.

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