LITFL Review 186

Welcome to the 186th 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

The importance of grit in medicine can’t be stated enough. Mike Lauria discusses the concept and its import. [AS]

The Best of #FOAMed Emergency Medicine

• Excellent lecture on the non-utility of backboards and collars via Anton Helman and EM Cases. [AS]
• Having difficulty getting fluorescein drops into an eye? ALiEM discusses 4 tricks to make this process much easier. [AS]
• Getting us all in the mood for #smaccUS, the awesome RAGE team are back with another podcast on a whole host of resuscitation based topics, including adding hand stands to your armoury of treatment! [SL]
• Check out Amal Mattu’s latest podcast on a new vagal maneuver for SVT. [SL]

The Best of #FOAMcc Critical Care

• ScanCrit discusses a recent systematic review of the use of vasopressors via peripheral catheters. [AS]
• Stephen Smith discusses an amazing case of delayed MI presentation that goes poorly but gives us plenty to learn in order to improve our care. [AS]
• Here’s a great review of the recent PermiT trial looking at reduced calorie intake in critically ill patients. Thanks, Justin! [SO]
• The Bottom Line review the PYTHON trial looking at early vs on-demand feeding in pancreatitis. Another job well done, guys! [SO]

The Best of #FOAMus Ultrasound

• Use the ultrasound guided ulnar nerve block in patients with 5th digit injuries (i.e. Boxer’s Fracture) to provide rapid anesthesia from the Ultrasound of the Week. [AS]

The Best of #FOAMped Pediatrics

• Review of massive transfusion protocol in major pediatric trauma from Don’t Forget the Bubbles. [AS]

The Best of #FOAMim Internal Medicine

• A review of solitary pulmonary nodules and related topics from this week’s University of Louville’s Internal Medicine lecture series. [ML]

The Best of #MedEd FOAM and #FOAMsim

• The International Review of Psychiatry has dedicated its April issue (freely available through June) to Social Media in Medicine. [ML]
• How education is and how it should be from John Greenwood and the Maryland CC Project. [AS]

LITFL Weekly Review Team

Reference Sources and Reading List

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