LITFL Review 326

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Welcome to the 326th 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

Nick Cummins Fair Dinkum Ripper Beauts of the Week

Read this special collaboration between EMCrit RACC and Dr Smith – The OMI Manifesto. This well cited review is a detailed explanation of the false dichotomy between STEMI and NSTEMI, and suggests new terminology consistent with the latest evidence. [MG]

powerful story from Ashley Liebig about the words we use in front of patients, expecting the unexpected, and the negative encounters that can and do happen in patient care. Our jobs are hard and stressful but don’t ever forget the importance of kindness and humanity in the patients you care for. [SR]

The Best of #FOAMed Emergency Medicine

Are IV antibiotics better than oral antibiotics in cellulitis? Justin Morgenstern takes a deep dive. [AS, SR]

Brit Long goes through some common pitfalls in UTI diagnosis. WBCs in the UA are not diagnostic of UTI, Symptoms are important since UTI is a clinical diagnosis [SR]

Scott Weingart discusses Idarucizumab and its lack of robust evidence to reverse dabigatran. So what should we do? Justin Morgenstern explains in a rebuttal post why most medical therapies are not like parachutes–because, unlike parachutes which essentially have an NNT of 1, most medication are not so clearly lifesaving, so they need to be subjected to an RCT. [SR]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

Do we need antibiotics to treat pancreatitis? A thought provoking talk from Emma Goeman asks this question. [SO]

Alex Yartsov has updated a few things in Deranged Physiology, including this Handy guide to PICCO normal values. [SO]

The Best of #FOAMus Ultrasound

The guys at UltrasoundPodcast review shoulder ultrasound [JSh]

Avoid wondering if another scanner could have obtained “better” images. Rob Arntfield from Westernsono reviews methods for identifying the presence or absence of acoustic windows across the parasternal, apical and subcostal windows. [LP]

The Best of #FOAMtox Toxicology

The latest installment of The Toxicologist Mindset from the ALiEM team describes a case of herbal induced delirium. There is an overview of autonomic toxidromes, physostigmine as an antidote, and the common causes and presentations of herbal medicine-induced anticholinergic toxicity. [TCN]

The Best of #FOAMpeds Pediatrics

Hypertension in Children: White Coat or Wicked Curse? Tim Horeckzo helps simplify this topic in a whimsical Harry Potter-themed approach. Which hypertensive person is your patient? Hufflepuff? Gryffindor? Revenclaw? Slytherin? [MMS]

The Best of #FOAMim Internal Medicine

An Introduction to Interventional Radiology both diagnostic and therapeutic, courtesy of Louisville Lectures [ML]

The Best of #MedEd FOAM and #FOAMsim

Fantastic talk from Sarah Gray at #dasSMACC about the voices in our heads. Compassion towards oneself is one of the hardest skills to learn in medicine. The good news is you can change this with 3 steps: Listen to your inner dialogue; Practice better self talk; and Have empathy towards others. [SR]

Stress growth and embracing it to build us to be better providers. The latest EM Over Easy episode tackles this idea with Anna Kalantari. [MMS]

Ego is the enemy, especially in academics. Learn how to fight the darkness of ego on many fronts on a daily basis. The tactics discussed in this post truly embodies the #FOAM movement. [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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