LITFL Review 221

Welcome to the 221st 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

Sepsis-3 is released, and a fantastic 7 minute vodcast from JAMA on their new consensus definitions for sepsis and septic shock. [SL] Here’s 40 minutes of sepsis goodness–iTunes interviews with the authors. [SO]

This is discussed by many in the FOAM community:

*Jeremy Faust and Lauren Westafer reveal the new sepsis definitions. SIRS is OUT and qSOFA score are IN. [SR]

*Great links to pro/con discussion too by Natalie May and Richard Carden at St Elmyn’s.[SR]

*Justin Morgenstern feels that the new sepsis definitions are not ready for primetime. [SR]

*Justin Mandeville also summarises Sepsis 3.0 and uses the “rule of 2s” in hispost from ICMWK. [SO]

The Best of #FOAMed Emergency Medicine

• Brent Thoma does an excellent job discussing palliative care in the ED and a step-by-step way to go about it. [SR]
• Simon Carley talks about medical error and how it can shape the way we perceive ourselves and others as clinicians, and how we could and should support ourselves and each other. [CC]
• Low risk chest pain continues to plague the Emergency Physician. Watch this great vodcast from Essentials of EM featuring Salim Rezaie on the topic. [AS]
• Simon Carley asks: “Can/Should we unlock our unconscious patient’s mobile phone?” Very thought provoking post. [SR]

The Best of #FOAMcc Critical Care

• Burnout amongst intensive care doctors is a popular and worrying topic. Dr Andrew Davies talks us through it, and explores ways we can provide our own intensive care, in this wonderful talk from ICN. [SO]
• A surgeon assesses a sick patient for laparotomy and pronounces them “too sick for surgery”. Is that really the case? Steve Mathieu delivers some powerful pearls in this great SMACC Chicago talk. [SO]
• Phillipe Rola delivers a thought-provoking discussion on volume status vs volume responsiveness vs volume tolerance, and how they can differ in health and disease. [SO]

The Best of #FOAMus Ultrasound

• Matt and Mike continue their adventures in gastric ultrasound in part 2 of their podcast. Can we say “Starry night” together everyone? [SO]

The Best of #FOAMped Pediatrics

• Edward Snelson tells us that kids aren’t just mini-adults.  Well, when it comes to persistent cough anyway……[CC]

The Best of #FOANed Nursing

• Injectable Orange features a wonderful post discussing research on resilience and burnout. [AS]

The Best of #FOAMim Internal Medicine

• In an oldie but goodie, Dr. Brown from University of Louiville covers the basics of Acute Coronary Syndromes. [SR]
• This week, Louiville Lectures juggles coordinating safe discharges. [ML]

The Best of #MedEd FOAM and #FOAMsim

• Teresa Chan reviews a paper on whether junior doctors can use Google to accurately answer clinical questions.  The bottom line is yes, but the question remains is the use of Google by junior doctors appropriate? [SR]
• Looking to get a start in podcasting? ALiEM talks to a slew of experts (@EM_Educator @EMManchester @EMCases @EMtogether @embasic@FOAMpodcast @TheSGEM @srrezaie) to get the specs on their tech. [AS]

LITFL Weekly Review Team

Reference Sources and Reading List

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