LITFL Review 279

Welcome to the 279th 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

An incredible talk from Tom Evens discussing how we train for the long game with a focus on marginal gains, and how sports coaching can translate to medicine. [AS]

The Best of #FOAMed Emergency Medicine

• Fareen Zaver and the ALiEM team publish their top 10 gastroenterology #FOAMed based on their AIR-Pro grading instrument. [SR]
• Ryan Radecki reviews a new Lancet paper looking at rates of head CT in minor pediatric head trauma patients using clinician gestalt, CHALICE, PECARN, and CATCH clinical prediction rules in New Zealand and Australia. [SR]
• First 10 EM features a great evidenced based review of UTIs in blog form as a nice companion to the EM Cases podcast from last week. [AS]
• Ken Milne, Chris Bond, and Sergey Motov discuss the optimal dosing strategy for toradol in the emergency department to treat acute pain. [SR]

The Best of #FOAMcc Critical Care

• Scott Weingart discusses the logistics of massive transfusion protocols. [SR]
• Gary Misselbrook reviews the use of dexmedetomidine in mechanically ventilated patients with sepsis and its effect on mortality and ventilator free days. [SR]
• Andrew Davies’s Mastering Critical Care series continues with an amazing conversation with Neil Orford. [SO]
• Does magnesium cure all arrhythmias? Jonny Wilkinson reviews the evidence for “magic-nesium”as an antiarrhyrhmic. [SO]

The Best of #FOAMres Resuscitation

• You’ve got the ETT in and down goes the BP. What to do next? Say AH SHITE and work through the causes of post-intubation hypotension. [JS, AS]
• Should we resuscitate before they endoscopate? Poetic license aside, REBEL EM looks at the literature to decide whether there is an optimal time for endoscopy in upper GI Bleed? [JS]

The Best of #FOAMus Ultrasound

• Jacob Avila and Mike Stone talk lower extremity nerve blocks. [SR]
• Are you confirming capture of pacing with ultrasound? 5 minute sono shows why you should definitely consider it. [AS]
• Ultrasound of the hip can be very useful in limping patients, as this case from Sonostuffdemonstrates. [SO]
• Here’s a lovely summary of lung ultrasound B-lines from Cian McDermott. [SO]

The Best of #FOAMped Pediatrics

• Chris Gray and the St. Emlyn’s crew ask: are you PROcalcitonin? [SR]
• Andrew Tagg discusses hair tourniquets in children and how to remove them effectively. [SR]

The Best of #FOANed Nursing

• So, that ECG tracing look abnormal. What rhythm is it? Joanne Reading helps with a brilliant flow chart for diagnosing cardiac arrhythmias. [JS]

The Best of #FOAMim Internal Medicine

• IM Reasoning (Nicolas Szecket & Art Nahill) does their first ever INTERNATIONAL stump the chump podcast with Casey Parker on acute monoarthritis. [SR]
• This week’s Louisville Lectures is on Lipid Disorders with an emphasis on pathophysiology and treatment. [ML]

The Best of #MedEd FOAM and #FOAMsim

• Be the architect of your own learning. Brilliant SMACC talk from Sandra Viggers. [JS]
• Andrew Tagg delves into the hidden curriculum of balancing life. [SR, AS]

LITFL Weekly Review Team

Reference Sources and Reading List

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