LITFL Review 293
Welcome to the 293rd 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
Sepsis is an exquisitely complicated disease that cannot be managed by simply sticking to a protocol. Paul Marik reflects on the many problems with the US federal sepsis initiative. [AS]
The Best of #FOAMcc Critical Care
- Scott Weingart has an update on push dose pressors (epi vs phenylephrine), reviews a recent publication in press about the topic, and discusses the dirty epi drip. [SR]
- David Slessor reviews a recent RCT on TTM at 33 degrees celsius in OHCA. 24 vs 48 hours on neurologic outcomes at 6 months. [SR]
- Lactate is bad, right? Maybe not- Paul Marik discusses some of the problems with this paradigm. A provocative listen.. [SO]
- Looking for some great free Neuro ICU protocols? Salford Hospital, UK has put up a whole bunch of excellent material free online. [SO]
The Best of #FOAMres Resuscitation
- Anand Swaminathan and Rory Spiegel both review a new publication on cardiac arrest and the use of POCUS delaying CPR pauses. [SR]
The Best of #FOAMus Ultrasound
- Another excellent case from Dr Smith’s ECG blog, integrating clinical skills, ECG interpretation, and POCUS. Great stuff. [SO]
- The Ultrasound Podcast discuss Ultrasound in codes… again! Listen to a fascinating discussion. [SO]
The Best of #FOAMped Pediatrics
- Al Sacchetti shares tips and tricks to avoid the fear of taking care of the critical child. Another fantastic free lecture from Essentials of EM. [ML]
The Best of #FOANed Nursing
- Yun Cee Dirsa talks push dose pressors to ensure your patient is perfusing while you are preparing a drip. [SR]
- …and as a follow up to her podcast, Yun Cee Dirsa discusses why we should not be using pre-filled NS syringes to mix up the push dose pressors. [SR]
The Best of #MedEd FOAM and #FOAMsim
- Andrew Davies’s beautiful series on Mastering intensive Care continues with a great interview with Julia Wendon from London. [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.