LITFL Review 229

Welcome to the 229th 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

Simon Carley and Robert Lloyd have an amazing podcast discussing resilience, mindfulness, stress innoculation, procedural expertise, and more as Robert shares his story of being an Englishman in South Africa. [SO]

The ESICM-led Trauma 2016 conference has just finished. Catch up on all 3 days thanks to excellent blogs from James Day and Adrian Wong: Day 1 Day 2Day 3 [SO]

The Best of #FOAMed Emergency Medicine

• FOAMCast delves into the disutility of the urine drug screen as well as exploring management of cocaine intoxication. [AS]
• Angioedema is a pretty poorly understood topic; this podcast from ERCAST gives a good overview via a great discussion from Rob with Gentry Wilkerson. [SL]
• Excellent pearl from EM Updates on the blood control valve in IV catheters and how to get around it when needle decompressing a chest (though, I agree, finger thoracostomy simply easier and more effective). [AS]
• Here’s a great post by Richard Bukata on NG tubes. Do we really need to do so many of them, and are there things to do to make them more comfortable for patients? [SO]

The Best of #FOAMcc Critical Care

• Josh Farkas delves into some of the many nuances of vasopressor therapy in patients with sepsis specifically addressing the utility of epinephrine. [AS]
• Phil McGlone reviews a recent publication about whether we should be using citrate or heparin for renal replacement therapy in the ICU. [SR]
• St Emlyn’s discuss a recent systematic review comparing hypertonic saline and mannitol in the management of intracranial hypertension. Excellent, thoughtful read. [SO]

The Best of #FOAMres Resuscitation

• Mike Winters walks us through a personal yet amazing review of running the perfect code. [SR]
• A HEFTEMcast hosted Transatlantic discussion on Resuscitative Endovascular Balloon Occlusion of the Aorta or REBOA with some pearls on setting up services from Delaware and The Royal London. [CC]

The Best of #FOAMtox Toxicology

• Our own LITFL Tox Tute features an excellent, multimedia discussion of TCA overdose this week. [AS]
• Here’s a Tox/Ultrasound overlap. The Poison Review discuss a paper on the echocardiographic features of carbon monoxide poisoning. [SO]

The Best of #FOAMus Ultrasound

• Here’s a pretty cool Ultrasound of the Week: a 60 year old female presents with painful right neck swelling…can you guess the diagnosis? [SO]

The Best of #FOAMped Pediatrics

• Effects of electronic technology on children makes for a thought-provoking article by Andrew Tagg. [CC]

The Best of #FOAMim Internal Medicine

• The Louisville Lecture series lends a talk on Mechanical Circulatory Support for internists in the ICU. [ML]

The Best of #MedEd FOAM and #FOAMsim

• Anton Helman puts together a very nice summary of presentation skills.  A must listen if you give lectures or teach. [SR]
• Here’s a great talk by Rory Spiegel on journal analysis using the FLORALI trial as an example. Thanks to the Maryland CCP for posting! [SO]

LITFL Weekly Review Team

Reference Sources and Reading List

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