LITFL Review 173

Welcome to the 173rd 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

Remember Scott Weingart and Michael Lauria’s podcast on mental toughness? A beautifully nuanced comment was made following it, and it’s worth reading for all present and budding resuscitationists. [SO]

The Best of #FOAMed Emergency Medicine

• Excellent discussion about the (dis)utility of BNP in the evaluation of patients with potential heart failure by Rory Spiegel. [AS]
• This month’s Annals of Emergency Medicine podcast is out! This edition includes articles on CT decision, Ketamine vs Fentanyl, syncope, EMS handoffs, blunt trauma, ultrasound for fractures, and tourniquets. [MG]
• Michelle Lin shares excellent tricks of the trade for the management of SVT in the ED via Essentials of EM 2014. [AS]
• What’s the flow rate for IO access? It depends! Find out more this week at Critical Care Anywhere. [MG]
• emDocs features a great writeup on acute ataxia in the ED. [MG]
• How common is deterioration in pulmonary embolism patients? Ryan Radecki turns his critical eye to a retrospective evaluation of the EINSTEIN PE study to help determine who can go home from the ED after the diagnosis of PE. [AS]
• Do you perform closed chest CPR for traumatic cardiac arrests? Inform your practice with this podcast from the fantastic ERcast. [SL]
• Rory Spiegel reviews the PROMISE trial – more evidence showing that CTCA increases downstream testing without decreasing morbidity or mortality. [AS]

The Best of #FOAMcc Critical Care

• What’s the state of evidence for the use of epinephrine in out-of-hospital cardiac arrest? REBEL EM reviews the literature. [MG]
• Does low tidal volume ventilation also benefit patients without ARDS? The Bottom Line review a Dutch Study from 2010 that attempts to answer the question. [SO]
• More goodness from Wessex as their most recent ICU educational session on the metabolic and endocrine system is added to their website. [SO]
• Here’s a great review on High Flow Nasal Cannula oxygen for apnoeic oxygenation by Josh Farkas. [SO]
• Master the intraaortic balloon pump with this great video from Ray Raper via SMACC Gold and the Intensive Care Network. [SO]
• Bringing cutting edge critical care to the roadside. Find out about prehospital ECMO in the podcast from the London Trauma Conference. [SL]
• Where is sepsis management today? REBEL EM discusses EGDT, ProCESS and the ARISE trial and what it all means to current management of sepsis.

The Best of #FOAMus Ultrasound

• Wow cool- I had never seen one of these on ultrasound. Trust Ultrasound of the week to show some fascinating images of this condition (see if you get it right). [SO]
• Matt and Mike from the Ultrasound Podcast teach everyone how to do a superfical cervical plexus block– guest starring Mike Stone. [SO, AS]

The Best of #FOAMped Pediatrics

• Check out what’s new in APLS with this useful summary from St Emlyns. [SL]
• Excellent review of high-risk EKG findings in syncope from Don’t Forget the Bubbles. [AS]
• Damian Roland uses a patient video to show us a child with red lips, conjunctivitis, and fever. But what’s the diagnosis? [TRD]
• Paediatric resuscitation is a common source of medication errors – Simon Craig (for PIPSQC) review ways we can avoid this. [TRD]

The Best of #MedEd FOAM and #FOAMsim

• EM:RAP offers a thought provoking talk from Constance LeBlanc on Feedback, Human Factors and what Emergency Medicine should be from Essentials of EM 2014. [AS]
• Eve Purdy discusses how medical students can “own their learning experience” during their clinical time. [AS]
• Getting you warmed up and even more excited about SMACC, listen to Jonathan Downham talk to Oli Flower about the upcoming conference. Can you afford to miss out?? [SL]

LITFL Weekly Review Team

Reference Sources and Reading List

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