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LITFL Review 329

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Welcome to the 329th 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

Laura Duggan reports data the Airway App has accumulated on front of neck access (FONA). This is an amazing model for crowdsourcing data on rare procedures that should be duplicated. [AS, SR]


The Best of #FOAMed Emergency Medicine

Rory Spiegel is the first in what will likely be a long line of posts critiquing the new Surviving Sepsis campaign recommendations. Read the publication and then explore the logical fallacies embraced by the authors in Rory’s post. [AS, SR, MG]

Zaf Qasim discusses the data and his experiences with law enforcement transport of severely injured penetrating trauma victims at St. Emlyn’s. [RP]

Post-arrest EKGs are notoriously difficult to interpret. Dr Smith has two cases this week that explore how to interpret these. [MG]

EM Cases does a deep dive into the myths and misconceptions of cellulitis, skin abscesses and necrotizing fasciitis. [MMS]

Mike Lauria discusses Emergency Reflex Action Drills (ERADs). These are designed action sequences that help you execute clinical interventions with minimal cognitive load in time pressured situations. Some great examples are also given on this post. [SR, MG]


The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

Our own Philippe Rola has put up some of the excellent talks from the recent Hospitalist and Resuscitationist conference in Montreal. [SO]

INTENSIVE discusses the management of a life threatening scenario: acute pulmonary oedema on VA ECMO. [SO]


The Best of #FOAMus Ultrasound

Awesome post on the Shrug Technique for US-guided subclavian lines at EMCrit [JSh]

A brief review of the evidence for ultrasound for the diagnosis of Flexor Tenosynovitis in the ED [JSh]

emDOCs unmasks the lung pulse. What is it and can it play a role in confirming a main stem intubation? [LP]

Not able to make POCUS through the Looking Glass in Melbourne? Well you’re in luck as SonoAus recorded each of the sessions in day one and two with associated presentation materials. [MMS]

Will POCUS help distinguish pseudo-PEA from true PEA in cardiac arrest? The folk at UCSD ultrasound investigate. [CMD]


The Best of #FOAMtox Toxicology

Great post on the pros and cons of whole bowel irrigation in an overdose patient population with very little hard evidence to support or negate its use. [SR, AS]

The Dantastic Mr Tox and Howard rolled us a totally dope podcast on all things Mary Jane–what legalized marijuana means for your ER. Prepare yourself for even more stoner puns. [SN]


The Best of #FOAMpeds Pediatrics

Ryan Radecki briefly reviews an American Academy of Pediatrics study on cost savings in the pediatric ER driven by re-challenging patients with low-risk penicillin allergy symptoms. A great point not mentioned in the study but brought up by Ryan: the antimicrobial stewardship benefits of reserving broader-spectrum antimicrobials for truly penicillin-allergic patients. [SN]

How deep should your LP needle go? Don’t Forget the Bubbles proposes some ultrasound evidence and weight-based calculations to help find an answer different than “deeper.” [RP]

Learn how to minimize pain and anxiety in kids with the latest comprehensive REBEL Cast covering 6 topics with Sebrina Perkins. Don’t provide inconsistent and inadequate pain control for kids! [MMS]


The Best of #FOANed Nursing

Sergey Motov does a deep dive into continuous sub-dissociative or low dose ketamine and ketamine in geriatrics, ethics, and more in this latest podcast from Resus Nurse. [MMS]


The Best of #FOAMim Internal Medicine

Catch this great podcast from Das SMACC discussing the diagnosis of critical neuromuscular disease. [SO]


The Best of #MedEd FOAM and #FOAMsim

ICE Net reviews another critical concept in education: Spaced Repetition. [AS]

Cliff Reid explores analysing the difficult resuscitation with the GPAS (goals, plan, actions, skills) approach when initial plans fall short in part II of the Resus.me series. [AS]

The “Collective Wisdom” series at emDOCs.net is always incredible, and no less so is this week’s interview with Pik Mukherji, EM PD and “ER Cowboy.” [RP]

‘The Resuscitationist’s Guide to Health and Wellbeing’ – St. Emlyn’s releases their third free ebook on health and wellbeing. Share this with your colleagues who work in acute specialities, where wellbeing and resilience are key to thrive and deal with the pressures and challenges we face. [MMS]

Want to get more writing done, but in less time? Learn these 9 hacks from successful writers to increase your productivity in this Inc post. [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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