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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 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

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Reference Sources and Reading List

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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 |

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