LITFL Review 230

Welcome to the 230th 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 Australian and New Zealand College of Anaesthetists have uploaded some talks from their recent ASM. Listen to Anil Patel talk on THRIVE (think NODESAT on steroids!), Stuart Marshall talk on Human Factors in airway management, and Helen Kolawole talk on the ANZICS Anaphylaxis guidelines.  Here’s hoping for an upcoming playlist… [SO]

The Best of #FOAMed Emergency Medicine

• Anna Pickens discusses treatment for “special seizures” such as eclampsia, EtOH withdrawal, INH toxicity, and electrolyte abnormalities. [SR]
• Rob Orman interviews Gentry Wilkerson on the treatment of angioedema. [SR]
• Craig Cocchio talks Euglycemic DKA…It does exist, and can in patients taking SGLT2 Inhibitors for diabetes. [SR]

The Best of #FOAMcc Critical Care

• Merv Singer takes the role of detective in solving the mystery of Multi-Organ Dysfunction Syndrome. [JS]
• Technically speaking, isn’t this ARDS in 2000 words? Jon-Emile Kenny takes us through the second part of the physiology of ARDS in the “physiology in 1000 words” series from PulmCCM. [SO]

The Best of #FOAMres Resuscitation

• Scott Weingart releases part 1 of the laryngoscope as a murder weapon where he discusses all things oxygenation: PreOx, ApOx, and ReOx. [SR]
• Rory Spiegel breaks down how we should tackle Pulseless Electrical Activityusing ultrasound and realize the limitations of ECG. [SR]
• Here’s a really great case from Dr Smith’s ECG blog. Featuring chest pain and abnormal ST-T segments in V1-V3, it’s got more twists and turns than Game of Thrones. [SO] (Ed note: Chest pain is coming)
• The Bottom Line tackle a paper comparing Pulse Pressure variation, Passive leg raising, and the end-inspiratory occlusion test for the measurement of fluid responsiveness. [SO]
• Here’s a great debate from SMACC featuring Kathy Maitland and Nick Piggott: do cautious fluids save lives? [SO]

The Best of #FOAMtox Toxicology

• Loperamide as the poor man’s methadone:  a drug of abuse and a cause of cardiac dysrhythmias. A fascinating delve into this over-the-counter antidiarrheal from TPR. [CC]

The Best of #FOAMus Ultrasound

• Hot of the press post from PulmCrit on Ultrasound-guided blakemore tube placement. [JS]
• Matt and Mike are running a series on renal ultrasound featuring the fabulous Vicki Noble. Part 1    Part 2 [SO]

The Best of #FOAMped Pediatrics

• Great podcast on how we can objectively assess and differentiate the child with altered mental status? [JS]
• Lauren Westafer and Jeremy Faust review the newly published Brief Resolved Unexplained Events (BRUE) AAP Guidelines, formerly known as ALTE. [SR]…and coupled with a blog post from DFTB, we now know that BRUE is the new Black [CC]
• This is an incredible read from a parent, reflecting on the fact that doctors don’t always know best. Real tips for our communication skills and shared decision making. [SO]

The Best of #MedEd FOAM and #FOAMsim

• If you ask educational questions at work how long do you wait for an answer? A great post on the importance of silence…………..from St Emlyns. [SL]
• Gracie Leo lists some great resources to finding fonts for the internet and your presentation in her post Typography Part 1 – Finding Fonts. [SR]
• The Teaching Course Podcast features a great talk from Adaira Chou on pearls + pitfalls in innovations in medical education. [AS]
• Robert Lloyd talks about acute stress, human performance, and how to improve. [SR]

LITFL Weekly Review Team

Reference Sources and Reading List

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