LITFL Review 275

Welcome to the 275th 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

What is the value of a lecture? How do we get the most out of attending and giving one? Rob Orman discusses with one of the best, Amal Mattu. [AS, SR]

Simon and Rob round up the recent trauma care conference in the UK with updates on some really important topics from EBM, PEM and PHEM-US. [CC]

The Best of #FOAMed Emergency Medicine

• Check out this excellent review and primer on cardiac biomarkers from Taming the SRU. [AS]
• Ryan Radecki talks high sensitivity troponins.  They are now FDA approved in the US, so get ready. [SR]
• In this Trick of the trade, Jeffrey Shih shows us how to do a Sphenopalantine Ganglion Block for migraine headaches. No needles needed.  Just a long q-tip applicator and some lidocaine or bupivicaine. [SR]
• Rory Spiegel tackles another paper evaluating the use of systemic thrombolytics for submassive PE. [SR]

The Best of #FOAMcc Critical Care

• Can we prevent a disease that may not even exist? REBEL EM reviews the AMACING trial looking at the prevention of CIN with hydration. [AS]
• Ryan Radecki talks Vitamin C for sepsis and why this should not be adopted into practice just quite yet. [SR]
• ScanCrit covers a recent multicenter swedish study and asking, is fever the new normal temperature for sepsis?
• Can you recognise differential hypoxia in your VA ECMO patients? The chaps at INTENSIVE talk us through an interesting case. [SO]
• It’s far past time to switch to lung protective ventilation in the ED using height as a guide. Josh Farkas has a quick post on doing it right and offers a new calculator via MDcalc to help. [AS, SR]

The Best of #FOAMres Resuscitation

• Scott Weingart walks through a step by step management approach to tracheostomy emergencies. [SR]

The Best of #FOAMus Ultrasound

• The interscalene block is extremely effective in providing analgesia to the shoulder, deltoid and humeral area. 5 Minute Sono has an excellent video on how to do it. [AS]
• Phil Rola has another great case demonstrating the value of POCUS in the differential diagnosis of dyspnoea. [SO]
• Do you have ultrasound clips for teaching that need de-identifying? Ben Smith has updated his software that allows you to do just that! [SO]

The Best of #FOAMim Internal Medicine

• Great new podcast, recommended by Casey Parker, is called IMReasoning. The hosts of the show are Nicolas Szecket and Art Nahill. [SR]
• This week’s Louisville Lectures fires up Understanding and Preventing Physician Burnout. [ML]

The Best of #MedEd FOAM and #FOAMsim

• The EMPharmD blog and our own Life in the Fastlane both feature posts this week on related topics: burnout, depression,  and mental health in medicine. [AS, SR]
• Janos Baombe asks what is your eating hygiene at work?  Some great tips on how to improve your diet while on a busy shift. [SR]
• Loice Swisher talks about the top 3 ways she has kept longevity without burnout in EM. [SR]

LITFL Weekly Review Team

Reference Sources and Reading List

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