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LITFL Review 165

Welcome to the 165th 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

Do you re-spike IV fluid bags? The case of Ruby Chen from gravelessons.com should make us all re-think this. [SO]



The Best of #FOAMed Emergency Medicine


The Best of #FOAMcc Critical Care

  • Great review of the pathophysiology and treatment of severe alcohol withdrawaland delerium tremens from PulmCrit. The review focuses on the potential role of phenobarbital as the first agent in treatment. [AS]
  • The evidence continues to mount that esmolol may be a useful therapy in patients with refractory VFib arrest. Resus.me reviews some recent lit on the subject. [AS]
  • Megan Brenner discusses the ins and outs of REBOA on the Maryland CC Project and shares a nice flow diagram for application of the device. [AS}
  • We rarely discuss our errors in management. On EM Cases, Andy Sloas discusses one and what he learned from the case to improve care in the future. [AS]
  • Charles Bruen reviews the rare but deadly Arrhythmogenic Right Ventricular Dysplasia (ARVD) with a focus on EKG findings and management. [AS]
  • More great reviews from The Bottom Line. This week the CHEST trial; starch vs saline for fluid resuscitation. [SL]
  • Josh Farkas continues his excellent series on Toxic Shock syndrome with advice on management in “A tale of two patients”. Don’t forget the clindamycin and IVIg….[SO]
  • John Greenwood from the Maryland Critical Care projects gives some thoughts on Jean-Luis Vincent’s recent paper, “10 big mistakes in Intensive Care Medicine”. Both the original article and John’s thoughts are humbling indeed. Check it out! [SO]
  • In our rush to resuscitate people, human aspects like empathy and compassion can get left behind. The Humanizing ICU project once again come to our rescue with a great video (submitted for SMACC EVO) reminding us all to “Be Sweet”. [SO]

The Best of #FOAMtox Toxicology

  • The Poison Review podcast has a great interview with Dr Guy Weinberg, known for developing the use of intralipid for treating local anaesthetic toxicity. Intralipid has also been used for other lipid soluble drug overdoses. Have a listen. [SO]

The Best of #FOAMus Ultrasound

  • Justin Mandeville from ICMWK reviews an article by Paul Mayo looking at critical care echo myths, and leaves us with some great pearls. [SO]
  • Here are some wonderful tips from echo.guru on measuring pericardial effusions. [SO]
  • Echoanaesthesiatoday.com is a great online resource for learning ultrasound nerve blocks. They have an amazing app called “Echo-blocks” which lists surgical procedures by site with the corresponding nerve block, complete with tutorial and video! One for the anaesthetists among us, or anyone else interested in regional anaesthesia. [SO]

The Best of #MedEd FOAM and #FOAMsim

  • Check out this hilarious primer for SMACCFORCE. I have no idea who to credit it to, but I doff my cap to thee, sir or lady. (Thanks to Minh Le Cong for archiving) [SO]

LITFL Weekly Review Team

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Reference Sources and Reading List

LITFL Review

#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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