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LITFL Review 164

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Welcome to the 164th 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 journal Critical Care has always been an online source of excellent resuscitation information… and has now become 100% OPEN ACCESS. You heard that right, folks. Dive in! [SO]



The Best of #FOAMed Emergency Medicine

  • The Skeptics Guide discusses the utility of antiemetics in undifferentiated vomiting in the Emergency Department. [AS]
  • Excellent review of CT Coronary Angiogram (CTCA) from ERCast with Rob Orman interviewing Judd Hollander. [AS]
  • Another great case of a developing STEMI and the importance of serial ECGs shared by Amal Mattu from a new location for the ECG Weekly Vidcast. [AS]

The Best of #FOAMcc Critical Care

  • Rory Spiegel reviews the (lack of) evidence for the use of balanced solutions over normal saline in resuscitation of the critically ill patient. [AS]
  • Gareth Davies and Iain Beardsell discuss brain apnea and some of the nuances of managing these patients on the St. Emlyn’s podcast. [AS]
  • The Bottom Line dissects the CHEER trial (Mech CPR, Hypothermia, ECMO + Early Reperfusion. [AS]
  • What is ischemic conditioning? How might it be used in managing a cardiac arrest patient? Find on on the ED ECMO podcast. [MG]
  • David Tripp from the Wellington ICU shared an excellent collection of revision notes for the Australian College of Intensive Care Medicine exam. Also on the page are revision notes on critical care ultrasound, child health, and Fellowship of the Royal Australian College of Physicians. Worth a long, deep dive… [SO]
  • Josh Farkas has a very humbling post on the diagnosis of toxic shock shock syndrome. Are you suspicious enough? I certainly haven’t been in the past…[SO]

The Best of #FOAMus Ultrasound


The Best of #MedEd FOAM and #FOAMsim


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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