LITFL Review 184

Welcome to the 184th 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

Here’s an awesome new echo resource from the Nepean Hospital ICU in Penrith, NSW, Australia, containing basic and advanced physics and scanning resources. [SO]



The Best of #FOAMed Emergency Medicine

  • Boring EM reviews the relevance of INR measurements to risk of bleeding during a procedure in patients with liver disease. [AS]
  • It’s not just about video versus direct laryngoscopy. It’s about the angulation of the blade. Great slidecast from Reuben Strayer. [AS]

The Best of #FOAMcc Critical Care

  • Rory Spiegel reviews the recent NEJM article on high-flow nasal canula (HFNC) over non-invasive ventilation or standard oxygen therapy in non-hypercarbic, hypoxemic respiratory failure. Although this article doesn’t provide definitive proof of benefit, Rory discusses how the information can guide clinical care. [AS]
  • The Bottom Line has a nice complimentary review to Rory’s post on high-flow nasal canula with some additional critiques and thoughts. [AS]
  • As if the top two weren’t enough, both Justin Mandeville (ICMWK)  and Josh Farkas (Pulmcrit)  have further discussions about this trial. Check out Justin’s review here and Josh’s here. Is it time to buy shares in HFNC? [SO]
  • Concerned about giving peripheral vasopressors prior to central access? Check out
    this post from Rebel EM. [SL]

The Best of #FOAMus Ultrasound


The Best of #FOAMim Internal Medicine

  • In this first of University of Louville’s two-part series on spondylarthropathies, rheumatologist Dr. Charles Moore discusses a clinical approach to patients with ankylosing spondylitis,  polymyositis/dermatomyositis, inclusion body myositis, anti-synthetase syndrome and scleroderma.  [ML]

The Best of #MedEd FOAM and #FOAMsim

  • EM Mindset from Matt Dawson – Compassion, Humility, Curiosity, Humor, Courage. [AS]

LITFL Weekly Review Team

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Marjorie Lazoff, MD FACP. Board certified internist with clinical background in academic emergency medicine, currently the founder of The Healing Red Pen, an editorial consulting company. Dr Lazoff is a full-time editor and strong supporter of FOAMed.

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