LITFL Review 172

Welcome to the 172nd 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

Di McMath writes a touching post reminding us all to build and maintain our resilience in “caring for the invisible wounds”. Thanks to Minh Le Cong for the tip! [SO]

The Best of #FOAMed Emergency Medicine

• Nice review of core content on skin and soft tissue infections from FOAM Cast this week. [AS]
• Subarachnoid hemorrhage workup isn’t as simple as it used to be. Rory Spiegel discusses the impact of the Perry article on traumatic LP and encourages a shared decision making model. [AS]
• The SGEM critically appraises the PROPPR trial and collates a number of FOAM links on the topic. [AS]
• This week had a toxicology theme over at Dr Smith’s ECG blog, with  tips on delirium and physostigmine, and lipid emulsion therapy. [MG]
• Academic Life in Emergency Medicine has a great review of drug interactions with warfarin. [MG]
• The PHARM hosts an extensive review of 2014’s Prehospital/EMS research articles of the year, featuring submissions from twitter, and retrieval specialists from around the world [Ed note: including our own humble Mat Goebel!]. [ML]

The Best of #FOAMcc Critical Care

• ALiEM reviews a recent article in the Canadian Journal of Anesthesia on POCUS for confirmation of ETT placement. [AS]
• It’s not just pre-oxygenation. Have a planned-out strategy. Cliff Reid discusses his approach. [AS]
• Weingart discusses the Slope of Resuscitation and the importance of early aggressive treatment in the ED. [AS]
• The Bottom Line review a trial of protocolised resuscitation in organ donation (the MOnIToR trial) in their latest post. [SO]
• The Humanizing Intensive Care project has a wonderful post on ways to keep patients comfortable. [SO]
• Rob Mac Sweeney of Critical Care Reviews recently gave a talk to prepare UK doctors taking the Faculty of Intensive Care Medicine Exam. His slides and references are available here. A fantastic revision on studies over the last 3 years. [SO]
• Here’s a useful pearl from Josh Farkas on vascular access in the crashing critically ill patient. [SO]

The Best of #FOAMtox Toxicology

• Did you know that Pantoprazole can cause a false urine positive test for THC? Well, neither did I! Thanks, The Poison Review! [SO]

The Best of #FOAMus Ultrasound

• Here’s a good summary of Trans-Oesophageal Echo in cardiac arrest by Thomas D of ScanCrit. [SO]

LITFL Weekly Review Team

Reference Sources and Reading List

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