LITFL Review 266
Welcome to the 266th 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
Is EM a failed paradigm? Listen to two heavyweights in the field, Simon Carley and Scott Weingart delve into this challenging topic. Check out Simon’s blog post on the topic as well. [AS]
The Surviving Sepsis Guidelines have just been updated. Foamcast is here with an excellent summary of the new changes. [SO]
The Best of #FOAMed Emergency Medicine
- REBELEM takes us on a painless review of the evidence behind alpha blockers in renal colic–and notes that the addition of multiple low quality studies at significant risk for bias adds nothing but statistical noise to older, known high quality randomized control trials [CC]
- This week saw the publication of the AHEAD study and the ResusRoom was all over it with this comprehensive review within 48 hours! #FOAMed at its finest, near instantaneous boots-on-the-ground peer review. [CC]
- Larry Mellick posts a new, excellent video reviewing the process of wrist arthrocentesis. [AS]
The Best of #FOAMcc Critical Care
- Interested in critical care nutrition? Definitely take a bite from this podcast. Jonathan Downham discuss the SCCM and ASPEN nutrition support guidelines for the critically ill. [JS]
- More on sepsis:
- David Anderson from INTENSIVE summarises a new JAMA paper comparing SIRS, QSOFA and SOFA in identifying sepsis in patients on the ICU. Bottom line? SOFA is best, and qSOFA isn’t great for ICU patients. [SO]
- Rory Spiegel discusses a new JAMA paper- the first to prospectively validate QSOFA in Sepsis. A thoughtful and intelligent analysis. [SO]
The Best of #FOAMus Ultrasound
- Is POCUS a paradigm shift or a problem? Listen to this great pro-con debate from SMACC Dub. [SO]
The Best of #FOAMped Pediatrics
- Don’t Forget the Bubbles offers a terrific review of challenging patients along with some tips on how to improve these difficult situations. [ML]
- A great guest post by Ross Fisher on St Emlyns and the merits of leaving the foreskin well alone.[CC]
The Best of #FOAMim Internal Medicine
- How sweet it is! Inpatient Glucose Management via Louisville Lectures. [ML]
The Best of #MedEd FOAM and #FOAMsim
- Ashley Liebig summarises her excellent talk on handover at Resuscitate NYC17 for us at the St Emlyn’s Blog. [SO]
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.