LITFL Review 323

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Welcome to the 323rd 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

Are you still ordering BNPs? Spiegel and Morgenstern do a deep dive into the literature to help advise why they aren’t nearly as useful as we may think. [AS, SR, MG]

The Best of #FOAMed Emergency Medicine

Our own Salim Rezaie wrote a fantastic review of all 12 major endovascular treatment of ischemic CVA trials on REBEL this week. It’s a nice bulleted repository of these studies, plus worthy of 2 hours CME. [ML]

Taming the SRU features a thorough review of pelvic bone anatomy, views and a systematic approach to x-ray interpretation. [AS, MG]

Why isn’t this ECG Wellens? Learn about this important differentiation over at Dr. Smith’s ECG blog. [MG]

Dissect the Canadian CT Head Injury /Trauma Rule in detail with Rob Orman and Joe Habbousche (MDCalc) on this episode of ERcast. [MMS]

EM Pulse puts out a great podcast discussing a growing Public Health emergency we can help address in the ED: Opioid Crisis. [MMS]

Next part in the REBEL Cast Vent Management series discussing the crashing patients: Don’t forget: DOPES then DOTTS. [MMS]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

Josh Farkas discusses the elusiveness of using mortality as the primary endpoint in studies. For one, it requires large studies to find small differences in a population that is heterogeneous with already decreasing mortality rates. Maybe we need more trials looking at proximal endpoints (i.e. ventilator-free days)? [SR]

Nice review by Core EM on the FELLOW Trial: Apneic Oxygenation in the ICU. Alas, two-thirds of patients were not apneic in this trial, questioning primary results of this study. [SR]

Casey Parker has started a new project on rural anesthesia for GP docs, but this topic applies to many EM and CC docs as well. Topics covered include Obstetric anesthesia, airway and intubation, suggamadex, Ketamine dosing, and gastric ultrasound. [SR]

The trial that has not gotten much love from the FOAM world just got some, as Adrian Wong dissects the APROCCHSS trial: Hydrocortisone and Fludrocortisone in Septic Shock. [SR]

Is the open lung strategy for ventilation dead? Carol Hodgson from ANZICS chats to Todd Fraser in this podcast from the recent Noosa meeting. [SO]

The Best of #FOAMus Ultrasound

POCUS first approach in renal colic: what can you say about stone size? [CMD]

St Paddy Day’s special: More goodness (part 2 of 3) from Ultrasoundgel.org’s special edition POCUS crit care mini series in Dublin, As provided last week, here’s part 1. [LP]

TEE in the ED by @FTeranmd [CMD]

Check out this super infographic about POCUS for diagnosing undifferentiated dyspnoea in this collaborative piece between The POCUS Atlas Team and ddxof.com [CMD, MMS]

The Best of #FOAMpeds Pediatrics

Donovan Dwyer discusses SVT and treatment of SVT in pediatrics. This is a good video explaining what is actually happening and why we treat the way we do. Only 24 minutes. [SR]

The Best of #FOAMim Internal Medicine

Polypharmacy: The Silent Syndrome is another great lecture from Louisville. [MMS]

The Best of #MedEd FOAM and #FOAMsim

What is competency-based medical education (CBME)? Why do we need CBME? And how does milestones fit into it? Learn more in this robust discussion among #MedEd greats. [MMS]

The PEARLS healthcare debriefing tool is out, freely accessible and open to feedback. It is also this month’s Simulcast journal club discussion. What are your thoughts on it? [MMS]

Are you a busy donkey or a productive unicorn? What behaviors make you a great manager? Some valuable insights in the quest to be more effective at work, as well as results from a Google study, from Inc. [MMS]

With the 3rd Annual EM Wellness Week (March 11-17th) just concluding there was a plethora of great posts. Let’s keep the momentum going in maintaining and prioritizing our wellness on a regular basis! [MMS]

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]

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.

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