LITFL Review 239

Welcome to the 239th 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

Josh Farkas weaves an elegant web around the NINDS Trial, not debating the therapy, but explaining Fragility Index and introducing the Instability Index. This is truly critical appraisal 2.0. [JS, AS, SO]

The Best of #FOAMed Emergency Medicine

• Rory Spiegel dissects the REACT-2 Trial looking at “Pan Scan” vs “Selective Scan” in trauma patients [SR]
• First 10 in EM highlights their papers of the month for June. A nice smattering of important EM articles with brief analysis. [AS]
• Excellent collection of induction (aka orientation) resources for new EM trainees via St. Emlyn’s. [AS]
• Another great article review from FOAMShED, this time casting a critical eye over the DECAF score for COPD exacerbations. [SL]
• Core EM features a podcast and critical appraisal of the ENCHANTED trial this week. [AS]

The Best of #FOAMcc Critical Care

• Chris Hicks, Mark Forrest, Scott Weingart and Chris Nickson join Anton Helman on EM Cases live from SMACCDub to discuss some hot topics in critical care. [AS]
• Jon-Emile Kenny gives an excellent summary on the revised Starling Principle and the glycocalyx.[SO]
• Jon-Emile has been super busy of recent, and has also created some free open access physiology learning modules discussing heart-lung interactions. Definitely worth a look… [SO]

The Best of #FOAMres Resuscitation

• St Emlyn’s review a recent journal article on the use of EPO in Out of Hospital Cardiac Arrest.The conclusions are, frankly, to be expected…[SO]
• A short but thoughtful piece from ScanCrit on how recognising lethal bleeding is as, if not more, vital than knowing the ins and outs of cutting edge intervention [CC]
• The Bottom Line critique the REACT-2 trial comparing whole body vs focused CT scanning. [SO]
• Here’s a couple of procedural videos from SMACC Chicago courtesy of ICN: Lateral Canthotomyand Intercostal drain insertion. [SO]

The Best of #FOAMtox Toxicology

• John Richards crushes the dogma of beta blockers and stimulant/cocaine toxicity. [SR]
• Another great Pulmcrit post- this time discussing whether piperacillin-tazobactam is actually nephrotoxic. [SO]

The Best of #FOAMus Ultrasound

• The ultrasound podcast do their thing- this time discussing ultrasound for pneumonia and thoracocentesis. [SO]

The Best of #FOAMped Pediatrics

• Damian Roland guests on DFTB blogging on some key messages for the Paediatric Registrar rotating through a Paeds ED….[CC]

LITFL Weekly Review Team

Reference Sources and Reading List

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