LITFL Review 224

Welcome to the 224th 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

The International Symposium on Critical Care and Emergency Medicine (ISICEM) was held this week, with a number of landmark trials presented- as well as some excellent debates. Adrian Wong and Jamie Strachan of Oxford ICM have an excellent series of posts covering all 4 days of the conference, and Rob “the Machine” MacSweeney has a special newsletter covering the key landmark trialspresented. New data on high flow nasal cannulation, dexmedetomidine for delirium, and noninvasive ventilation post-abdominal surgery were presented. Game changing stuff! [SO]

The Best of #FOAMed Emergency Medicine

• REBEL EM welcomes Amal Mattu to discuss lead aVR and how we should be using this in the diagnosis of acute MI + cath lab activation. [AS]
• Simon Carley and Ken Milne talk skin glue to secure peripheral IVs this week on the SGEM. [AS]
• Excellent review of pacemakers from CandiEM with a focus on pacemaker mediated tachycardia. [AS]
• Talking all things pneumothorax,Jeremy and Lauren from FOAMcast bring us a great episode on the core content and literature surrounding the topic. [SL]

The Best of #FOAMcc Critical Care

• Rich Taylor and Simon Carley write a very thought provoking post on when to withdraw resuscitation in the ED. [SR]
• Josh Farkas discusses a much more nuanced understanding of phenylephrinethan simply “phenyl is evil” and elucidates the varied physiological responses that can result from the drug. [AS]
• Simon Laing and Zaf Qasim discuss the best location for needle thoracostomy…spoiler alert…its not the 2nd intercostal space mid-clavicular line. [SR]
• Jon-Emile Kenny continues a wonderful discussion on the physiologically difficult airway in the second part of his post. [SO]
• Have you got high flow nasal cannulae in your ICU? You might want to after reading this excellent review on the effects of HFNC on reintubation in ICU patients from the Bottom Line. [SO]
• The chaps and chapesses at INTENSIVE have an absolutely awesome ECG case which I have never seen before. Can you figure it out? [SO]
• John Myburgh and Anthony Holley take each other on in this excellent podcast debate on ICP monitoring from Intensive Care Network. [SO]
• Todd Fraser has a great conversation about resuscitation fluid trials with John Myburgh on his blog- one of his podcasts from the recent ANZICS CTG meeting.  [SO]

The Best of #FOAMus Ultrasound

• Here’s an interesting way of revising echo anatomy using a coffee cup, Thanks echopraxis! [SO]

LITFL Weekly Review Team

Reference Sources and Reading List

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