LITFL Review 252

Welcome to the 252nd 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

The European Society of Intensive Care Medicine’s annual congress has just concluded in Milan. Some excellent and exciting new trials (LeoPARDS, GRAVITY-VAP, OXYGEN-ICU) were presented, all of which can be viewed for free on their website. [SO]

The Best of #FOAMed Emergency Medicine

• Check out the First 10 in EM articles of the month and listen to the audio discussion with Justin and Casey over on the BroomeDocs site. [AS]
• The Bottom Line tackles a prickly issue, acupuncture vs. morphine in the ED. [JS]
• Scancrit turns its critical appraisal eye on pre-hospital amputations and a recent EMJ article [CC]

The Best of #FOAMcc Critical Care

• How will technology change the delivery of critical care in the future? Get a sneak peak from Haney Mallemat in his SMACC talk, Get Your Tech On. [AS]
• The LeoPARDS trial of levosimendan in sepsis was released on Wednesday and has already been dissected by Steve Mathieu for the Bottom Line. Fast work! [SO]
• Scott Weingart discusses the principle of driving pressure in ARDS with Dr Roy Brewer. [SO]
• The CLASSIC trial comparing a liberal and restrictive resuscitation fluid protocol is also reviewed this week by the Bottom Line. [SO]
• Justin Mandeville gives an excellent summary of the Brain Trauma Foundation’s updated guidelines for managing traumatic brain injury. [SO]

The Best of #FOAMres Resuscitation

• The EM Nerd dissects the REASON trial and discusses the futility of our interventions for refractory cardiac arrest. [AS]

The Best of #FOAMus Ultrasound

• A brilliant review and alternative take on a recent paper looking at echo in cardiac arrest from EM Nerd. [SL]

The Best of #FOAMped Pediatrics

• Amazing resource for Peds EM: the PEM Guide 3.0 is now free via iTunes. [AS]
• The DFTB team are on fire. A twofer of pediatric gems: Andrew Tagg puts the heat on temperature assessment, and Henry Goldstein gives a heads-up on the nasty tasting medications that you could end up wearing. [JS]
• A SMACC mini podcast peers deep into the pediatric airway: Phil Hyde and Fran Lockie use cases to explore how to make that little airway less terrifying. [JS]
• Edward Snelson tells us the internet has ruined everything via chickenpox dogma in kids and Iron Giant.  Intriguing stuff.  [CC]

The Best of #MedEd FOAM and #FOAMsim

• A brand new and potentially game-changing Web resource for medical students and others, Medskl presents short (2-3 minute) but smart podcasts, wonderfully illustrated and following the FOAMed philosophy. Currently there are about 200 clinical medicine topics, including 8 emergency medicine topics. Registrants can download resources and participate in group discussions. Created by faculty from North American (mostly Canadian) med schools. How about CME for the rest of us? [ML]

LITFL Weekly Review Team

Reference Sources and Reading List

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