LITFL Review 216

Welcome to the 216th 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

All the talks from the recent UK Intensive Care Society Conference State of the Art Conference have been made freely and open accessible via the web site or by subscription via iTunes. A true smorgasboard of intensive care content, and enough to keep us all busy for a while, A fantastic resource! [SL/SO]

The Best of #FOAMed Emergency Medicine

• The SGEM discusses the use of mobile phones for dispatching bystanders to CPR in out-of-hospital cardiac arrests. [AS]
• David Duong reminds us of some very important drug-drug interactions when using TMP-SMX. [SR]
• Excellent review of the initial management of hyperkalemia by First 10 EM. [AS]
• Pain Free ED has an extensive compilation of the best pain related literature of 2015. [AS]
• The EM Cases podcast has a great episode on Decision Making in EM: Cognitive Debiasing, Situational Awareness & Preferred Error. [MG]
• The National Association of EMS Physicians had their conference this week, and the PEC podcast has recaps for day 1, day 2, and day 3. [MG]
• REBEL EM has a great review of the Canadian and New Orleans decision aids in minor head trauma. [MG]
• CORE EM has a new episode about paediatric c-spine injuries. [MG]
• The NUEM blog has an outstanding review of PE in pregnancy. [MG]
• The Fascia Iliaca block gets an excellent review from the chaps at ST Emlyn’s. [SO]

The Best of #FOAMcc Critical Care

• Should we consider using thrombolytics as a slow infusion instead of as a single infusion in pulmonary embolism? Josh Farkas looks at the literature, the pathophysiology and makes a case to consider this approach. [AS]
• The management of inferior STEMI can be complicated. Dr. Smith reviews the pathophysiology and the keys to successful management. [AS]
• Justin Morgenstern walks us through the management of life-threatening hyperkalemia. [SR]
• Adrian Wong reviews the results of the BLISS trial: Continuous infusion vs intermittent dosing of beta-lactams in severe sepis. [SR]
• ANZICS have uploaded more talks from their recent scientific meeting onto their Youtube channel. A good place to start: this talk by Alex Psirides on Social Media In Critical Care. [SO]

The Best of #FOAMtox Toxicology

• The Poison review have a great roundup of recent toxicology news, including discussions on the recent French FAAH inhibitor trial disaster.  [SO]

The Best of #FOAMus Ultrasound

• The ultrasound podcast guys discuss State of the evidence Cardiac arrest Echo: The Reason Trial. N0 cardiac activity on ultrasound does not mean call the code. [SR]
• ALiEM has an excellent review of ultrasound guided ulnar nerve blocks as well as an alternate approach to maximize efficacy. [AS]
• Jacob Avila teaches us how to be ultrasound ninjas of the lung by discussing static vs dynamic air bronchograms. [SR]
• Here’s a great video on how to perform a basic echo, courtesy of INTENSIVE/Echopraxis. [SO]
• The limitations of IVC collapsibility are eloquently discussed in a post on pulmccm.org. [SO]
• Interested in learning about gastric ultrasound, especially as a tool to estimate aspiration risk? The website gastricultrasound.org  is a great new resource. Check out their introduction to the technique, then dive in… [SO]

The Best of #FOAMped Pediatrics

• Damian Roland this week reminds us that distraction is a powerful tool, especially in paediatric pain, and calls on us all to remember as calm as we are, is as calm as they’ll be.  [CC]

The Best of #FOAMim Internal Medicine

• This week, Louiville Lectures spotlights common rickettial diseases. [ML]

LITFL Weekly Review Team

Reference Sources and Reading List

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