LITFL Review 250

Welcome to the 250th 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

Prone ventilation has a myriad of potential beneficial effects in respiratory failure. So why not try it in patients who are not intubated but hypoxic? Great and thoughtful stuff from Josh Farkas. [SO]

The Best of #FOAMed Emergency Medicine

• Core EM features a great video this week on performing an incision and drainage of a cutaneous abscess. [AS]
• Why randomize a trial? Rory Spiegel discusses the issues that arise when we look at data that was non-randomized. [AS]

The Best of #FOAMcc Critical Care

• REBELEM discusses the importance of cognitive offloading in cardiac arrest management to maximize your patient’s chance of a good outcome
• Platelets in spontaneous ICH? The Bottom Line says no after reviewing the PATCH trial. [AS]

The Best of #FOAMres Resuscitation

• Vincent Pelegrino from the Alfred discusses ECMO-CPR in this excellent podcast from INTENSIVE. [SO]
• Is venous return a myth? Challenge your knowledge of physiology, thanks to a well-researched post by Tom Woodcock. [SO]

The Best of #FOAMtox Toxicology

• Jacob Avila guests posts on Core EM reviewing the pathophysiology, presentation and treatment of methamphetamine intoxication. [AS]

The Best of #FOAMus Ultrasound

• The eye is a perfect structure to US for pathology so learn how to do it! Nice review of US to differentiate vitreous hemorrhage from retinal detachment from 5minSono. [AS]
• Here’s a fascinating echo case courtesy of Ultrasound of the Week. Can you get the diagnosis right? [SO]

The Best of #FOAMped Pediatrics

• Think Upper GI bleeding is all drinkers and cirrhotics?  DFTB explore the subject in kids.  Bloody great overview. [CC]
• US is the gift that keeps on giving. Here’s a great video and short blog piece on ALIEM on the use of US in paediatric LP. [CC]

The Best of #FOAMim Internal Medicine

• Patient-centered care for LGTBers from the physician-centered Louisville Lectures.

The Best of #MedEd FOAM and #FOAMsim

• It’s conference season in Europe and the good, bad and the ugly are being demonstrated to eager learners.  Ross Fisher reminds us that less can be, and probably is, more.  [CC]

LITFL Weekly Review Team

Reference Sources and Reading List

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