LITFL Review 334

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Welcome to the 334th 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

Don’t Forget the Bubbles features a powerful talk by Natalie May about patient needs and lessons we can learn from the culture of pediatric EM and their application in adult patients. [AS]



The Best of #FOAMed Emergency Medicine

Fantastic comprehensive approach to the care of the agitated patient featured on EM Updates. [AS]

EM Ottawa provides an excellent review of urgent care potpourri looking at the evidence on management of corneal abrasions, distal phalanx injuries and epistaxis. [MMS]

A patient with a clear cut acute coronary occlusion on EKG presents with a history of recent normal angiogram. Is this even possible? Dr. Smith gives some pearls to keep in mind when you are encounter this conundrum. [MMS]

Concussions can be emotionally impactful, especially for an active individual. EM Pulse gives a deep dive into concussion on what we can do to better assess, manage and counsel our patients in the ED. [MMS]

Could subdissociative-dose ketamine be a good strategy for moderate to severe pain management in geriatric patients, who are often not ideal candidates for opioid analgesia? Brian Hayes reviews a recent paper by Dr. Sergey Motov and colleagues. [SN]

Over at ICU Revisited, Aron Hussid reviews a recent JAMA article evaluating successful first-attempt intubation rates when using a bougie vs. endotracheal tube and stylet. [SN]


The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

Aidan Burrell reviews the EOLIA trial looking at ECMO in severe ARDS for The Bottom Line. An amazing trial which has left many more questions than answers… [SO]


The Best of #FOAMtox Toxicology

Got a case of sulfonylurea-associated hypoglycemia? This week’s Tox and the Hound post reminds us to reach for octreotide when rebound hypoglycemia occurs after dextrose boluses. [SN]


The Best of #FOAMim Internal Medicine

Diastology can be a difficult concept to grasp! Save this diastology primer sheet by Stephen Alerhand next time you review this complicated topic. [MMS

Learn the potential life-saving stellate ganglion nerve block to keep in your armamentarium when dealing with ventricular storm. [MMS]


The Best of #FOAMpeds Pediatrics

Head over to Peds EM Morsels for a concise summary of situations in which evaluating BNP in pediatric patients might be clinically useful. [SN]

Don’t Forget the Bubbles reviews one of the most common foreign body ingestions in pediatric patients and which require emergent removal. Bonus FOAM: the nutritive value of earthworm ingestion. [SN]


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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