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LITFL Review 156

Welcome to the 156th 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

Is clot retrieval in ischemic stroke the next development? Caution in allowing one marginally positive study to change practice. Rory Spiegel implores us to study our past mistakes (NINDS-2) so as to avoid repeating them. [AS]

Master your management of status epilepticus with help from this podcast from Oli Flower When the Seizure Doesn’t stop from SMACC. [SL]


The Best of #FOAMed Emergency Medicine


The Best of #FOAMcc Critical Care

  • Jonathan Downham of criticalcarepractitioner.com has a great review of Paul Marik’s paper on iatrogenic salt water drowning- complete with well-researched references. Have a gander. [SO]
  • Do we need to correct the anion gap for albumin concentration?  No, according to this excellent post by Josh Farkas. Dogma successfully lysed. [SO]
  • Phillipe Rola discusses two trials of ECMO-CPR in this thoughtful post– the Australian CHEER trial, and a Canadian study by Bernardczyk et al. Both showed remarkably similar outcomes (about 50% survival with CPC 1-2 status). Is this really the future? [SO]
  • Don’t give up on patients with epidural hematomas and bilateral fixed and dilated pupils. Cliff discusses a recent article showing that a significant portion of these patients have good outcomes. [AS]
  • Master anaphylaxis with an excellent session from SMACC Gold by Rose. [SO]
  • Simon Carley, Minh Le Cong, Anthony Delaney, Oli Flower, Jonathan Downham, James Day and LITFL’s own Segun Olusanya sat down to discuss the recent ARISE trial of early goal-directed therapy in sepsis. See the study dissected from EM, PHEM, and ICM points of view. Have a listen!  [SO]

The Best of #FOAMus Ultrasound


The Best of #MedEd FOAM and #FOAMsim

  • The KeyLIME podcast discusses the importance of trust in medical education and specifically in Emergency Department trainee education. Great topic for all medical educators. [AS]

LITFL Weekly Review Team

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Reference Sources and Reading List

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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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