LITFL Review 217

Welcome to the 217th 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

How do we reach deep within to find empathy when we feel at our worst? By remembering the other side of the story, writes Phil Berry in his blog.“The trick at such times is to access the human in ourselves” [SO]

The Best of #FOAMed Emergency Medicine

• The ALiEM team shares a fast + easy way to reduce those stubborn mandible dislocations. [AS]
• Nadia Awad teaches us how to make and use diphenhydramine for local anesthesia. [SR]
• Ryan Radecki asks is the 6-hr Head CT for SAH debate over? Maybe not!!! [SR]
• Disaster preparedness is so much more than a manual; brilliant talk from Sara Gray. [JS]
• Reuben Strayer discusses how we can avoid alcohol withdrawal admissions in patients presenting with intoxication. [AS]
• So, what is Zika virus? Slick overview from Janos at St Emlyn’s
• Can sniffing an alcohol wipe actually reduce nausea? Find out on this week’s episode of the SGEM. [MG]

The Best of #FOAMcc Critical Care

• Our own Anand Swaminathan tells why Rocuronium Rocks and Succinylcholine Sucks for RSI in the ED. [SR]
• Rob Orman and Scott Weingart talk about what are the top 3 things that kill septic patients. [SR]
• A massive bottom line-style review post from Gavin Denton, on extra-corporeal removal of carbon dioxide. Long but worth the read. [JS]
• Maryland Critical Care project features a great lecture on Updates in Traumatic Brain Injury. [MG]
• Rob “The Machine” Mac Sweeney’s Critical Care Reviews meeting was held on the 29th of January. The Oxford ICM blog has collated a beautiful summary. Enjoy! [SO]
• Here’s yet another fab Bottom Line Review, this time a paper on the implementation of an early ICU physical rehab program. Nice work, Steve! [SO]

The Best of #FOAMtox Toxicology

• Anton Helman reviews a case of massive TCA toxicity and discusses use of sodium bicarbonate and intralipid therapy. [SR]

The Best of #FOAMus Ultrasound

• Romolo Gaspari reveals more from the REASON Trial: Cardiac Arrest Echo. [SR]
• Ultrasound of the week 67 is a real doozy. Thanks Ben for this amazing trauma case– the images are astounding. [SO]
• POCUS may not always provide the answers, as Steve Smith reminds us in this great case from his ECG blog. Keep using our clinical skills! [SO]

The Best of #FOAMped Pediatrics

• Think hitting the IV is the hardest bit of PEM? Nope.  It’s securing the little ******!! Great tips from Goldstein blogging on DFTB. [CC]
• Robert Cloutier walks through risk assessment of radiation exposure in pediatric patients getting CTs. [SR]
• Should we put kids on ice post cardiac arrest; Hyde vs. Kelly in the pediatric therapeutic hypothermia debate. [JS]
• Tim Horeczko talks about evaluation of the undifferentiated sick infant.  Worth every second of the 35 minute podcast. [SR]

The Best of #FOANed Nursing

• Should we still be aspirating enteral feeds to assess gastric residual volumes? We don’t in my ICU [JS]

The Best of #FOAMim Internal Medicine

• This week, Louiville Lectures howls on lupus nephritis. [ML]

The Best of #MedEd FOAM and #FOAMsim

• Sandra Viggers and Vic Brazil summarize the latest from IMSH ‘16 in San Diego on simulations in healthcare. A wonderful focus on technology. [CC]
• Natalie May discusses the makings of a great presentation from The Teaching Course NYC 2015. [AS]
• Take a trip through the world of evidence based medicine with Ken Milne via Essentials of EM. [AS]

LITFL Weekly Review Team

Reference Sources and Reading List

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