LITFL Review 179

Welcome to the 179th 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

If you do one FOAM-centred thing this week, spend 5 minutes watching this video on patient-centred care. Thanks to the International Forum on Quality and Safety In Healthcare 2015[SO]

The Best of #FOAMed Emergency Medicine

• Ken Milne and Salim Rezaie team up on REBEL Cast for a critical appraisal of active compression-decompression CPR with augmentation of negative intrathoracic pressure in out-of-hospital cardiac arrest. [AS]
• Excellent pocket reference from Boring EM on skin and soft tissue infection(SSTI) management. [AS]
• Two more discussions on SWIFT-PRIME, REVASC, etc in the form of great blog posts from Ryan Radecki and Rory Spiegel dissecting this stroke literature. [AS]
• Another great podcast from EM Basic on non-pregnant vaginal bleeding. [SL]
• Does bupivacaine really last longer than lidocaine? Find out over at REBEL EM. [MG]
• This week the SGEM takes on remote ischemic conditioning for STEMI. (For two more great discussions on this topic, check out this post over at A Medic’s Medicine and this episode of the ED ECMO podcast.) [MG]
• Taming the SRU has a great pre-hospital TBI case with curated expert commentary; also available as podcast. Read the case before the commentary for maximum learning. [MG]

The Best of #FOAMcc Critical Care

• A brilliant talk from Kenji Inaba discussing lower extremity trauma from Essentials of Emergency Medicine. [AS]
• Do you TRUST your tube placement? A nice review of using POCUS to confirmthat your tube is in the appropriate location within the trachea. [AS]
• A recent article suggested apnoeic oxygenation doesn’t work in the critically ill, but Josh Farkas from Pulmcrit takes this to task. Don’t abandon “o’s up the nose” just yet… [SO]
• Here’s an interesting conversation with Professor Darren Heyland on critical care nutrition from the JICSCast team. [SO]

The Best of #FOAMtox Toxicology

• Thanks to The Poison Review for reviewing a recent article on the increased risk of acute kidney injury with PPI use. [SO]

The Best of #FOAMus Ultrasound

• Beautiful image from Jacob Avila’s Ultrasound of the week 45. One to store in the memory banks. [SO]
• Here’s a reminder from echo.guru that our larger patients can still make good transthoracic echo images. I guess size doesn’t matter so much? [SO]

The Best of #FOAMim Internal Medicine

• Dr Lederer’s case-centered lecture-and-slides on Na, K, and diuretics really does help clarify serum and urine electrolytes from an internist’s perspective. For those with greater urgency, the same nephrologist focuses on Electrolyte Emergencies,specifically hyponatremia and hyperkalemia. [ML]

The Best of #MedEd FOAM and #FOAMsim

• A guest post from Rob Orman on the EM Mindset from EMDocs.net. Remember to be humble, keep learning and set the tone. [AS]
• Excellent podcast from Anton Helman, Chris Hicks, Walter Himmel and David Dushenski on risk tolerance, decision making and what we really mean (or should mean) when we say diagnosis. [AS]
• A really interesting and thought provoking situation posed on ALIEM on the use of FOAM and the Case of the FOAM Faux Pas, exploring the criticism we may face as FOAM early adopters and quoting FOAM resources on the shop floor. Add your comments to the (at time of writing) 42 comments. On May 1 AKIEN will post the Expert Responses and Curated Community Commentary for the Case of The FOAM Faux Pas. [SL]

LITFL Weekly Review Team

Reference Sources and Reading List

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