LITFL Review 264

Welcome to the 264th 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

Another great set of talks from SMACCDub released this week: John Greenwood discussing assault on the RV and Haney Mallemat on the PEA Paradox. [AS]

The Best of #FOAMed Emergency Medicine

• Rob Orman talks to a number of EPs about the practice changers in Emergency Medicine from 2016. [AS]
• Edd Carlton discusses the latest update to the NICE Chest pain guidance, a new dictat or the case of the missed opportunity? [CC]
• Bryan Hayes and the ALiEM team review the standout EM-Pharmacotherapy papers for 2016. [AS]
• Excellent review of labs to order and how to interpret those labs after fluid drainage in patients with ascites and pleural effusions from the Taming the SRU site. [AS]

The Best of #FOAMcc Critical Care

• Should we be switching from Vanco-Zosyn to Vanco-Cefepime in sepsis to avoid increased AKI rates? Not so fast. As in EM in Focus points out, the answer isn’t so straightforward. [AS]
• Bubbles in a chest drain aren’t always a good thing, as Vinay Bharatula and INTENSIVE point out [SO]
• The Maryland CC Project deliver excellent teaching on haematopoietic stem cell transplantation for the intensivist. [SO]

The Best of #FOAMres Resuscitation

• Check out Joe Bellezzo talking about the quick way to place a transvenous pacemaker in the unstable, bradycardic patient. [AS]
• Josh Farkas discusses the dogma of PCI for every NSTEMI patient with a past history of CABG. [SO]

The Best of #FOAMtox Toxicology

• A case report discussed by TPR team.  Do you know your U-47700?  No?  Neither did I, until now. [CC]

The Best of #FOAMus Ultrasound

• How do we integrate our POCUS skills into actual problem solving? Philippe Rola discusses a 39 year old lady presents to his department with undifferentiated shock…and POCUS helps save the day [SO]

The Best of #FOAMped Pediatrics

• Does the length of antibiotic therapy make a difference in otitis media resolution? EM Nerd and Don’t Forget the Bubbles both delve into the recent NEJM study investigating this question and point out that it’s all about how you define treatment success. [AS]

The Best of #FOAMim Internal Medicine

• Louville Lectures ties a pink ribbon around Breast Cancer [ML]

LITFL Weekly Review Team

Reference Sources and Reading List

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