LITFL Review 225

Welcome to the 225th 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

Never has Infectious Diseases sounded so interesting! This superb talk from Mark Crislip ‘The pus whisperer’ on the art of hunting out the offending organism! [SL]

Chris Hicks lays down some knowledge on making teams work: stress inoculation training, shared mental models, implicit communication & Curious George, this talk has it all. [JS]

The Best of #FOAMed Emergency Medicine

• Rory Spiegel turns his critical eye and his word–smithery–to abscesses and antimicrobials.  Thought we had it down? Think it’s simple? Think again…. [CC]
• Shoulder dislocation? Forget procedural sedation and consider intra-articular lidocaine via CanadiEM. [AS]

The Best of #FOAMcc Critical Care

• Rob Orman talks with Zaf Qasim about Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) [SR]
• Scott Weingart talks about the 7 French, No Exchange Wire, ER REBOA Catheter for Trauma. [SR]
• Sam Ghali guest posts on REBEL EM discussing pre-charging the defibrillator in another of the “Beyond ACLS” series. [AS]
• The St. Emlyn’s induction podcast is back discussing a general approach to recognition and initial treatment of patients with sepsis. [AS]
• Josh Farkas reviews a recent publication discussing the use of HFNC to avoid reintubation in low risk patients. [SR]
• The Bottom Line summarise a great paper looking at Open Lung vs ARDSnet ventilation in ARDS. [SO]

The Best of #FOAMtox Toxicology

• Great pharmacology driven podcast on the treatment of severe alcohol withdrawal. [JS]

The Best of #FOAMus Ultrasound

• Matt Dawson and Jacob Avila dive into why we should always use ultrasound in CVL placement on the Ultrasound Podcast. [AS]
• Like Lung Ultrasound? Here is a superb video summarising lung signs and profiles from Kylie Baker. [SO]
• Here are some thoughtful reflections on POCUS from EmNerd. I know we love it, but sometimes are we just chasing shadows? [SO]

The Best of #FOAMped Pediatrics

• Diagnosis: croup. Croup score = mild: game over? Is it simple? Edward Snelson talks us through the rationale for treating even the ‘mildest’ presentation. [CC]
• Check out a free repository of essential diagnostic, treatment and disposition guides in iBook form – PEM Guides 2.0 [AS]
• Tim Horeczko discusses massive transfusion, trauma imaging, and resuscitative pearls of the pediatric trauma patient. [SR]
• Is the improved sensitivity of US over CXR for detecting pneumonia in kids a boon or simply a matter of overdiagnosis? The EM Nerd explores. [AS]

The Best of #FOANed Nursing

• Nurses delivering room service resuscitation – Sarah Webb explains how this is a reality.[JS]

The Best of #FOAMim Internal Medicine

• An excellent Louisville Lecture on the intricacies of Do Not Resuscitate orders. [JS]

The Best of #MedEd FOAM and #FOAMsim

• Birinder Giddey reviews the Fragility Index and how to avoid over-interpretating RCTs [SR]
• Our own Mike Cadogan breaks down some statistics in the world of FOAM and EM Critical Care. [SR]
• Socratic method or just plain bullying? Eve Purdy puts up a great case for discussion on ALIEM in the Case of the “Pimping” Physician. [SO]

LITFL Weekly Review Team

Reference Sources and Reading List

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