LITFL Review 208

Welcome to the 208th 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

Tim Leeuwenburg’s talk from SMACC US, Coping with Isolation, speaks to those physicians who practice “all alone” in a rural environment. The take-home message: vulnerability is OK; be kind to each other; and we are never alone with FOAMed. Posted in multiple medias on Intensive Care Network.[SR]

Read the medical response to multisite terrorist attacks in Paris, amazing insights from a Viewpoint published online in this week’s Lancet. [J]

The Best of #FOAMed Emergency Medicine

• Video short from Essentials of EM discussing meds that are just as effective if given IV or PO. [AS]
• Mark Culver and Emily Richards question the use of prophylactic IV ondansetronin preventing opiate-induced nausea/vomiting on Emergency Medicine PharmD. [SR]’
• You’ve seen the oxygen mask elastic trick for removing rings. Now, in this video the team at St Emlyns shows you how to bandage a scalp so it stays on!  Basic EM skills at their best. [CC]
• Simon Carley reviews a study and designs a strategy to rule out ACS using of a single hsTnI <5ng/L at St. Emlyn’s Blog. [SR]

The Best of #FOAMcc Critical Care

• Our own Anand Swaminathan has a nice core content review of compartment syndrome on Core EM. Swami warns us not to wait for the development of late findings of pallor, loss of pulses or paralysis before consulting surgery. [SR]
• Duncan Chambler delivers a great Bottom Line on the ROC-CCC Trial on continuous versus interrupted chest compressions. [JS]
• An in depth look at some of the issues of the FELLOW trial for apneic oxygenation and why this evidence does not prove the absence of benefit. [AS]
• Oli Flower’s talk from SMACC US Lessons from the Cage posted on Intensive Care Network. Cage, as in martial arts. Be careful with surrogate endpoints, own your MOJO, and be a good coach. [SR]

The Best of #FOAMus Ultrasound

• Tim Gallagher discusses an ultrasound-guided fluid assessment protocol for critically ill patients on Core EM. [SR]

The Best of #FOAMped Pediatrics

• Andrew Tagg over at Don’t Forget The Bubbles discusses topical local anaesthetic for cannulation in paeds ED. Including a nice video on the use of ‘Buzzy’. [CC]

The Best of #FOANed Nursing

• An insight into the theory and practice of bringing about change and normalising new technologies in critical care, Critical Care Practitioner Podcast asks Why Won’t We Change? [JS]
• A nice summary of NCEPOD Just Say Sepsis review, showing just how far we have to go in the recognition and management of sepsis, by Nicki Credland. [JS]

The Best of #MedEd FOAM and #FOAMsim

• Felix Ankel discusses the importance of trust when working on a team and how this can be done: by drawing people closer (oxytocin) instead of pushing them harder (epinephrine). On ICENet Blog. [SR]
• Natalie May helps us understand learning and memory in Part 2 of Being a Better Learner from #TTCNYC15 on St. Emlyn’s Blog. [SR]

LITFL Weekly Review Team

Reference Sources and Reading List

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