LITFL Review 232

Welcome to the 232nd 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

Cliff Reid offers an amazing reflection on training, stress exposure and pushing one self to achieve even in the face of defeat. [AS]

Nadim Lalani writes one of the most incredible pieces I have ever read on courageous collegiality in medicine, a guide to having challenging conversations. (Thanks Brent Thoma for the tip) [SO]

The Best of #FOAMed Emergency Medicine

• Should we transfuse platelets to patients with spontaneous ICH on antiplatelet therapy? St. Emlyn’s and EM Lit of Note review a recent RCT in the Lancet that essentially says, no. [AS]
• Here’s a nice summary from St Emlyn’s on recent UK guidelines on managing acute behavioural disturbance. [SO]
• Do patients attending the ED have a higher mortality if they attend at weekends? The Bottom Line review a topical recent paper from the UK looking at this. [SO]

The Best of #FOAMcc Critical Care

• EMCrit features the Laryngoscope as a Murder Weapon series that many have heard in grand rounds but now, available to everyone. Part 1 + Part 2. [AS]
• Core EM features a review of the Bed-Up-Head-Elevated (BUHE) position for intubation with a quick instructional video. [AS]
• Rory Spiegel discusses the recent trial comparing helmet and face mask non-invasive ventilation in ARDS. What makes the helmet superior? [SO]
• Ryan Radecki summarises a really interesting article looking at the effects of nebulised albuterol (salbutamol) on lactate and potassium in healthy subjects. A timely reminder that lactate doesn’t always mean badness…. [SO]

The Best of #FOAMtox Toxicology

• Zach Adams presents a challenging case summarising key points in the management of Tricyclic Toxicity. [SO]
• First10Em remind us how to manage isoniazid toxicity in this great case, complete with a summary of the biochemistry of isoniazid and pyridoxine… [SO]

The Best of #FOAMus Ultrasound

• Having trouble optimizing your cardiac views on US? Check out this week’s 5 Minute Sono post. [AS]
• Matt and Mike go back to lung ultrasound basics in their latest Ultrasound Podcast. [SO]
• A great discussion on the clinical skills and caution required when utilising the great tool that is bedside ultrasound, the EDE blog talk about Misuse and Overdiagnosis in POCUS. [SL]

The Best of #FOAMped Pediatrics

• Don’t Forget the Bubbles summarise a recent paper comparing apple juice to paediatric electrolyte solution for the management of mild acute gastroenteritis. [SO]

The Best of #FOAMim Internal Medicine

• The Louisville Lectures discuss the use of novel therapeutic agents in diabetes. Video is accessible off the Louisville web site or their YouTube channel. [SO, ML]

The Best of #MedEd FOAM and #FOAMsim

• P-cubed presentation skills has reached its 200th post and here is a reflective piece on those 200, highlighting the most and least popular postings.  There’s some absolute gold here.  Enjoy.  [CC]

LITFL Weekly Review Team

Reference Sources and Reading List

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