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

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

The Best of #FOAMus Ultrasound

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

The Best of #FOAMim Internal Medicine

The Best of #MedEd FOAM and #FOAMsim

LITFL Weekly Review Team

LITFL RV brought to you by:

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.

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