LITFL Review 233

Welcome to the 233rd 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 deploys bilingual brilliance and teaches us to speak Resuscitese–error proofing common directives in a crisis. [JS]

Richard Body discusses whether compassion is a patient’s right in this great talk from SMACC Chicago. [SO]

The Best of #FOAMed Emergency Medicine

• CanadiEM has an excellent systematic approach to interpreting the ECG in a pacemaker patientand identifying issues. [AS]
• AEM Rounds is an exciting new FOAM site created by my colleagues in the Emergency & Trauma Centre at the Alfred Hospital in Melbourne. Trainees will like this brief, high impact vodcasts on Pelvic Trauma Minireview. There is also a Spine Trauma Review, detailing the Alfred approach to spine trauma clearance–a controversial area! [CN]
• Our own Anand Swaminathan does a Critical Appraisal of the ENCHANTED trial evaluating low dose vs standard dose tPA in acute ischemic stroke–as does Adrian Wong, writing for the Bottom Line. Points to anyone who can explain what non-non-inferior means. [SR/SO]
• Another great review from the guys at FOAMcast, this time on the management of seizures. [SL]
• A thought provoking post on Overconfidence in the ED by Chris Gray at St Emlyns. [SL]
• First 10 in EM has a great review of the early management of massive GI bleeding in the ED. [AS]

The Best of #FOAMcc Critical Care

• Jeremy Cohen gives a thought-provoking talk on the role of cortisol in critical illness-another ripper from SMACC Chicago. [SO]
• A useful reminder from INTENSIVE about the management of a tracheostomy emergency- prioritise patency before “puff”. [SO]
• How do you manage the “diuretic resistant” patient? Josh Farkas discusses this challenging area of critical care, helping us achieve diuresis without dehydration. [SO]

The Best of #FOAMres Resuscitation

• The subscription-based EMRAP HD features a free and quick 1-minute YouTube video on how to perform dual-sequential defibrillation. [AS]

The Best of #FOAMtox Toxicology

• David Juurlink talks us through deadly drug interactions and how to avoid them [JS]

The Best of #FOAMus Ultrasound

• Is POCUS useful in poisoning by visualising pills in the stomach?  This week’s posting on TPR lets rip on what is probably a step too far……[CC]
• 5 minute sono take on ultrasound guided paracentesis– another great video. [SO]

The Best of #FOAMped Pediatrics

• Great guide to fetal alcohol syndrome for the infrequent paeds practitioner. [JS]
• For all the dipsticks out there: Microhaematuria in paediatric blunt trauma is a shallow dive into the usefulness of urinalysis. [JS]
• Damian Roland gives us some great advice on P.R.E.D.I.C.T- ing unneccessary distress during paediatric procedures. [SO]

The Best of #FOANed Nursing

• CVVDHF what? Simplifying renal replacement therapy. Another great offering from a new critical care nursing education powerhouse. [JS]

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

• A great reminder from Andy Neill regarding those who make FOAM possible: the researchers that put in the graft and whose studies inspire FOAM posts and conversations. [SL]
• Psychological safety is an important part of an effective learning experience- this is discussed by Walter Eppich in this excellent SMACC Chicago talk. [SO]

LITFL Weekly Review Team

Reference Sources and Reading List

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