LITFL Review 260
Welcome to the 260th 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 seriously good survival guide for central venous access devices from new DFTB author, Amanda Ullman. Includes tips to salvage almost any line. [JS]
The Best of #FOAMed Emergency Medicine
- Check out First 10 EM articles of the month for November and the podcast with Casey Parker. [AS]
- Ever wondered why we manage GI bleeds the way we do? Here’s EM Daily with a great review of GI bleeding evidence . [SO]
- The Bottom Line discuss the HEART pathway trial, reviewing a triage tool for early discharge of chest pain patients. [SO]
The Best of #FOAMcc Critical Care
- There has been a surge of case-based Q&As related to ECMO activity on INTENSIVE in the past week: (1) Why is the bag turning red? discusses the identification and investigation of haemolysis in patients receiving ECMO support, (2) Cardiac arrest on VV ECMO is what it says on the tin, and (3) Access insufficiency is just the beginning… shows, via a case of necrotizing pneumonia, that ECMO is not a universal panacea and lead to increasingly insoluble problems… Enjoy the #FOAMecmo! [CN]
- Reuben Strayer shares his thoughts on the initial management of “Big Trauma” with a focus on avoiding the continued resuscitation in the trauma bay in lieu of rapidly getting the patient to CT or OR/IR. [AS]
The Best of #FOAMres Resuscitation
- To cool or not to cool after ROSC? REBEL EM reviews the recent systematic review and meta-analysis in Resuscitation, pointing out some important issues with the contributory studies. [AS]
The Best of #FOAMtox Toxicology
- Two toxic offerings from the sparkling new NUEM Blog – managing alcohol withdrawal in the ED and Methadone induced Torsades. [JS]
The Best of #FOAMus Ultrasound
- Here’s an interesting case from Philippe Rola demonstrating how useful multi-organ POCUS can be. [SO]
The Best of #FOAMped Pediatrics
- A shining beacon for Paediatric EBM with a new journal study review feature: a welcome change filled with bubbles, glitter and probably bogies, fresh from the DFTB team. [CC]
The Best of #FOANed Nursing
- A concise review of consensus definitions of sepsis and septic shock, great to see Joanne back at the keyboard. [JS]
The Best of #FOAMim Internal Medicine
- Taking the Complication Out of Chemotherapy is simply represented by Louisville Lectures [ML]
The Best of #MedEd FOAM and #FOAMsim
- A Kerouacesque whisky-fuelled discussion, the panel to end all panels: publishing and the future of critical care knowledge dissemination. [JS]
- A truly outstanding SMACC talk from Resa Lewiss: the individual traits of a great leader (hint: they have nothing to do with gender).[ML]
LITFL Weekly Review Team
LITFL RV brought to you by:
- Anand Swaminathan [AS] (EM:RAP, Core EM,REBEL EM and The Teaching Institute)
- Andrew J. Bowman [AJB]
- Bruno Tomazini [BT] (ICURevisited)
- Chris Connolly [CC] (RCEMFOAMed, FOAMShED)
- Chris Nickson [CN] (RAGE, INTENSIVE and SMACC)
- Cian McDermott [CMD] (POCUS Geelong, SMACC)
- Craig Wylie [CW] (BadEM)
- Jeffrey Shih [JSh](ALiEM)
- Luke Phillips [LP] (POCUS Geelong)
- Manpreet ‘Manny’ Singh [MMS] (emDOCs.net)
- Marjorie Lazoff [ML] (TandemHealth)
- Mat Goebel [MG]
- Matt Siuba [MS]
- Philippe Rola [PR] (Thinkingcriticalcare)
- Rick Pescatore [RP] (EM News UC:RAP)
- Sarah Newman [SN]
- Salim Rezaie [SR] (REBEL EM, The Teaching Institute)
- Segun Olusanya [SO] (JICSCast, The Bottom Line)
- Thomas C. Neal [TCN] (PulmCCM)
Reference Sources and Reading List
LITFL Review
#FOAMed Updates
Marjorie Lazoff, MD FACP. Board certified internist with clinical background in academic emergency medicine, currently the founder of The Healing Red Pen, an editorial consulting company. Dr Lazoff is a full-time editor and strong supporter of FOAMed.