LITFL Review 166

Welcome to the 166th 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

It’s Junior Doc changeover time in sunny blighty.  Point your new Juniors to this fantastic series from the team in Virchester.  This podcast talks over the basics of Problems in Early Pregnancy. [CC]

Helping to get around the difficulty of group learning and shift work in the ED, @ACPEducate has added a new feature, Google hangouts on EM-focused topics, hosted on Jonathan Downham’s Critical Care Practitioner site. Scroll halfway down the page to access the video clip. Much more in the pipeline over the next few weeks! [SL]

The Best of #FOAMed Emergency Medicine

• Last week, ACEP released a new draft of their clinical policy for the use of tPA, and discussions on this controversial topic are still active in the world of FOAM. This week, FOAMCast features interviews with Ryan Radecki, Ken Milne and David Newman. [AS]
• Bryan Hayes highlights the must-know pharmacotherapy articles of 2014 on ALiEM. [AS]
• Should we be using steroids in the management of community acquired pneumonia? EM Lit of Note discusses why this intervention isn’t ready for prime time. [AS]
• Learn why we don’t need to radiate patients with renal colic from ERCast featuring Mike Mallin and Matt Dawson. [AS]
• EM Cases features a discussion of commonly missed uncommon orthopedic injuries including syndesmotic injuries, bicep tears, quad/patella tears and gastroc tears. Great tips and pearls. [AS]
• Still using CVP to guide fluid responsiveness?  HEFT EMCAST discusses Marik et al’s meta-analysis on the use of the CVP measurements to guide fluid therapy. [CC]
• Scott Weingart has an update on techniques and physiology of preoxygenation for us in a new Emcrit wee. [SO]

The Best of #FOAMcc Critical Care

• The Bottom Line reviews the use of early neuromuscular blocking agents in patients with ARDS. [AS]
• EM Lyceum reviews four common questions and answers on airway management and procedural sedation with a focus on the debate between direct and video laryngoscopy. [AS]
• Anti-NMDA Receptor Encephalitis may be more common than previously suspected. Great case presentation from ALiEM on the topic with expert review from Leon Gussow. [AS]
• Rob Macsweeney’s Critical Care Reviews Meeting 2015 was held on the 23rd of January. Sadly there were no tweets due to WiFi issues. Trainees from the Oxford and Wessex Intensive Care Societies came to the rescue. however, writing a wonderful summary of the entire meeting. [SO]
• Josh Farkas discusses the concept of “acceptable failure rate” using cricothyroidotomy as an example, in this thought provoking post on “The Respiratory Death Airway Algorithm” [SO]

The Best of #FOAMtox Toxicology

• A review of the evidence for the use of haemodialysis in lithium toxicity from the team over at Poisons Review. [CC]

The Best of #FOAMus Ultrasound

• Boring EM reviews the strengths of using POC US in the differentiation of COPD and CHF in the Emergency Department. A great, in depth review of the literature. [AS]
• Excellent review of the use of POCUS in the diagnosis of pneumonia from Ultrasound of the Week. [AS]

The Best of #FOAMped Pediatrics

• The All NYC EM Podcast offers a look at pediatric skeletal trauma from James Meltzer. [AS]

The Best of #MedEd FOAM and #FOAMsim

• St. Emlyn’s discusses lessons learned from “Think Like a Freak” including the importance of “I don’t know,” thinking small and thinking differently. [AS]
• Thinking about making education videos? Read this discussion from Resus Review on the advantages of storyboarding. [AS]

LITFL Weekly Review Team

Reference Sources and Reading List

• #FOAMed – #FOAMcc – #FOAMres
• #FOAMped – #FOAMtox – #FOAMus
• #FOAMim – #FOANed