LITFL Review 165

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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

Nick Cummins 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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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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