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LITFL Review 189

Welcome to the 189th 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 American College of Emergency Physicians made some pretty significant changes to its tPA clinical policy. Find out what they were and get comments from the experts on this week’s FOAMcast. [MG]



The Best of #FOAMed Emergency Medicine

  • How does eliminating the “zero-miss rate” for chest pain affect admission versus discharge decisions in the ED? EM Lit of Note discusses a recent article from Academic Emergency Medicine. [AS]
  • If you’ve heard of giving steroids instead of antibiotics for strep throat, you’ll want to read this thoughtful review of the evidence at Emergency Medicine PharmD. [MG]
  • What constitutes a “large bore IV”? Look at some real data at the ETMCourse. [MG]
  • Find out the details and background about Jehovah’s Witnesses beliefs regarding blood products at The Trauma Professional’s Blog. [MG]

The Best of #FOAMcc Critical Care

  • Not convinced that ATLS is for amateurs? Check out this post from ScanCrit on the many weaknesses of ATLS. [AS]
  • REBEL EM reviews the new ACC/AHA recommendations on which patients should go to cardiac catheterization post-ROSC. Excellent editorial highlighting major issues with this algorithm. [AS]
  • EMUpdates discusses a better way to place a central line with the wire through catheter technique. [AS]
  • Another step beyond basic ACLS: Cliff Reid discusses the role of inhaled nitric oxide in cardiac arrest patients with pulmonary hypertension. [AS]

The Best of #MedEd FOAM and #FOAMsim


LITFL Weekly Review Team

LITFL RV brought to you by:

Reference Sources and Reading List

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#FOAMed Updates

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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