LITFL Review 244

Welcome to the 244th 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

A gold, silver, and bronze performance in one week. An epic non-clinical focus three-for from Don’t Forget the Bubbles: The impacts of bullying on kids; A call for action against asylum seeker abuse on Nauru; and the effect of adults bullying in the workplace. [JS]

The Best of #FOAMed Emergency Medicine

• Great instructional video on chest tube placement from EMRAP HD. [AS]

The Best of #FOAMcc Critical Care

• Duncan Chambler reviews the VASST Trial: Vasopressin vs Norepinephrine Infusion in Patients with Septic Shock. [SR]
• The rise of TEG in FOAMed and CC circles has been as unstoppable as the British track cycling team of late, but is it all it’s cracked up to be?  Rory Spiegel tells us it’s no Wiggo…..[CC]
• EMLIT-of-note, however, supports the use of TEG rather than the INR to predict those (cirrhotics) that need FFP ahead of invasive procedures, clearly it’s got more legs than an olympic sprint relay team [CC]
• A thought provoking podcast discussing using novel vasopressors targeting different receptorscomes our way via the Maryland CCProject. [SO]
• EMdocs discuss a great case of sepsis complicated by hypotension. Is the airway always the first consideration? (Maybe not.) [SO]

The Best of #FOAMtox Toxicology

• Police in Canada seizing huge shipments of Elephant Tranquilisers ready for street use?  Are the Canadians trying a new tactic to slow Usain Bolt down? [CC]

The Best of #FOAMus Ultrasound

• Jacob Avila, Matt Dawson, and Mike Mallin cover a great paper on US vs H&P in the cause of sepsis. [SR]

The Best of #FOAMped Pediatrics

• An excellent ICN podcast, Claire Cattigan discusses the learnings from introducing pediatric patient care into an adult ICU. [JS]

The Best of #FOAMim Internal Medicine

• A major update on Mimimizing Complications in Cirrhosis, from the  Louisville Lectures. [ML]

The Best of #MedEd FOAM and #FOAMsim

• An EMCrit episode of Olympic proportions. Mike Lauria leads an interview with cognitive science giant, Dr Gary Klein, in which expert intuition is put back on the podium. Recognition primed decision making, how experts mentally test decisions. [JS]
• Brilliant look at the challenges educators face with the rising generations of learners by Natalie May. [AS]
• Rick Body and Simon Carley kick off a new series called Critical Appraisal Nuggets (CANs) when reading the medical literature.  In this first episode they discuss randomization. [SR]

LITFL Weekly Review Team

Reference Sources and Reading List

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