LITFL Review 214
Welcome to the 214th 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
Should we be doing ultrasound-assisted catheter directed therapy (CDT) in submassive PE? Josh Farkas reviews the evidence and physiological explanation against the utility of this modality. [AS]
The Best of #FOAMed Emergency Medicine
- Two excellent reviews this week of the workup of patients with suspected SAH, including a non-contrast head (NCH) CT within 6 hours and an LP following a negative NCHCT. From REBEL EM and St. Emlyn’s. [AS]
- FOAMCast has a great wrap-up of the year with their best pearls and biggest trends for 2015. [MG]
- Sometimes what you think is a slam dunk STEMI isn’t. Check out this case from Dr Smith. [MG]
- PHEMCAST have a great episode on prehospital chemical incidents and some superb advice on how to manage these difficult situations. [SL]
The Best of #FOAMcc Critical Care
- Deepak Sekaran, Anthony Scoccimarro, & Muhammad Wasseem discuss the risks and benefits of pushing tPA in a code situation. [SR]
- The Bottom Line review a recent RCT comparing dopamine and epinephrine in the management of paediatric septic shock. Great stuff, as always! [SO]
The Best of #FOAMtox Toxicology
- Bryan Hayes lays the smaccdown on some myths and misconceptions in Tox Dogmalysis. [JS]
The Best of #FOAMus Ultrasound
- REBEL EM features a post discussing the role of TEE in cardiac arrest (cross-posted with Core EM). [AS]
- Ben Smith has some great pearls on the management of cellulitis in a new ultrasound of the week. [SO]
- Here’s a lovely review with great images on the value of echocardiography in pulmonary embolus by the team at Echopraxis. [SO]
The Best of #FOAMped Pediatrics
- Tim spews out another great podcast: Vomiting in the young child. [JS]
The Best of #FOANed Nursing
- A nuanced look at whether to lie or fuel distress, as in therapeutic lying in dementia care. [JS]
The Best of #FOAMim Internal Medicine
- For more than a year now, The University of Louisville has made its medical grand rounds viewable on its web site as FOAMed! They have begun posting these valuable videos again, and the first of their 2016 entries is Part 1 of Non-malignant pleural effusions. [ML]
The Best of #MedEd FOAM and #FOAMsim
- Essentials of EM shares the incomparable Vic Brazil’s keynote on “The Power of Words” from Essentials of EM 2015. [AS]
- Incredible editorial featured on the FemInEM blog on how women should think about getting involved in speaking. [AS]
LITFL Weekly Review Team
LITFL RV brought to you by:
- Anand Swaminathan [AS] (EM:RAP, Core EM,REBEL EM and The Teaching Institute)
- Andrew J. Bowman [AJB]
- Bruno Tomazini [BT] (ICURevisited)
- Chris Connolly [CC] (RCEMFOAMed, FOAMShED)
- Chris Nickson [CN] (RAGE, INTENSIVE and SMACC)
- Cian McDermott [CMD] (POCUS Geelong, SMACC)
- Craig Wylie [CW] (BadEM)
- Jeffrey Shih [JSh](ALiEM)
- Luke Phillips [LP] (POCUS Geelong)
- Manpreet ‘Manny’ Singh [MMS] (emDOCs.net)
- Marjorie Lazoff [ML] (TandemHealth)
- Mat Goebel [MG]
- Matt Siuba [MS]
- Philippe Rola [PR] (Thinkingcriticalcare)
- Rick Pescatore [RP] (EM News UC:RAP)
- Sarah Newman [SN]
- Salim Rezaie [SR] (REBEL EM, The Teaching Institute)
- Segun Olusanya [SO] (JICSCast, The Bottom Line)
- Thomas C. Neal [TCN] (PulmCCM)
Reference Sources and Reading List
LITFL Review
#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.