LITFL Review 177

Welcome to the 177th 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

Michelle Johnston manages to capture, in her superbly eloquent style, the heartbreak of the Wrong type of Swiss Cheese. Errors must be prevented, yes. But not at the cost of our humanity. [SO]

The Best of #FOAMed Emergency Medicine

• The April issue of The Annals of Emergency Medicine Podcast is released, and it features a number of great articles on everyone’s favourite subject: airway. [MG]
• The SETT UP approach to clinical skills training, by Dr Andrew Tabner. Far better than “see one, do one, teach one.” [AS]
• EM Cases features Chris Hicks discussing his personal practice-changing Best Case Ever: Taking Action in EM. [AS]
• Should we be mixing lidocaine and bupivacaine to get both rapid onset and long duration in digital nerve blocks? Great review by REBEL EM. [AS]
• Are ketamine and propofol really better together? Find out in this week’s Skeptic’s Guide to Emergency Medicine. [MG]
• Minh Le Cong and a fantastic crew of docs have got together to write some great surviving sedation guidelines to help us manage acutely disturbed patients. [SO]
• Zafrina Poonja from ALIEM writes the first of a new series on staying healthy in Emergency Medicine. [SO]
• Here’s a cool set of ECGs from Steve Smith showing the effects of calcium in severe hyperkalaemia. [SO]

The Best of #FOAMcc Critical Care

• Scott Weingart on DSI is featured this week in the Essentials of EM top 10 lectures from 2015. [AS]
• The fantastic Vortex Approach Trainer app is now available, helping to train teams in the Vortex Approach to airway management. And in true FOAMed style, it’s free!!! [SL]
• Great post from Josh Farkas outlining an approach to severe lower GI bleeding. [SO]

The Best of #FOAMus Ultrasound

• Mike Stone discusses the tibial nerve block for regional anesthesia to the sole of the foot. Great technique to repair lacerations and remove foreign bodies. [AS]
• Echo.guru has some great advice on the uncommonly used right parasternal window for echocardiography. [SO]

The Best of #FOAMped Pediatrics

• Andy Sloas and Rob Orman discuss the treatment of pediatric fever, along with the argument for not treating fever, on ER Cast. [AS]

The Best of #FOAMim Internal Medicine

• Steeping up for those who can’t is a video lecture summarizing published research, and presenting University of Louisville’s own findings, on Disability in the Clinic. The audio’s second half is much improved, and reviews what is technically needed according to the ADA to improve accessibility for all patients. A important, consciousness-raising video for physicians of all specialties, indeed for everyone. How might your ER, clinic, hospital or office perform on the survey? [ML]

LITFL Weekly Review Team

Reference Sources and Reading List

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