LITFL Review 335

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Welcome to the 335th 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

Can a slower approach to antibiotic infusion save lives? This discussion of prolonged beta-lactam infusion at PulmCCM says it might! [RP]

POCUS is for everyone! Josh Zimmerman and team from University of Utah provide a free online echo course with video lectures covering basic and advanced topics. [MMS]

The Best of #FOAMed Emergency Medicine

How can you provide better palliative care in your ED? Listen to the latest REBEL Cast with Mari Siegel as she discusses the ABC’s of palliative care in the ED. [MMS]

We must get comfortable taking care of the elderly as they continue to come to the ER in droves. The two latest Crack Cast podcasts from CandiEM goes over a general approach to geriatric patients and how to optimize your pharmaceutical care of geriatric patients. [MMS]

Which paralytic agent is associated with higher rates of first-pass intubation success and a lower incidence of adverse effects? Check out R.E.B.E.L EM’s review of a recent Annals of Emergency Medicine article for the answer. [SN]

Solid organ transplant patients: podcast and Rosen’s summary information from CanadiEM. Covers what every ED doctor ought to know about these patients. [BT]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

This week on ICU Revisited, we have a review of the literature for temperature control in neurocritical patients. Like all good FOAM, evidence for both hypothermia and normothermia is presented, allowing you to draw your own conclusions. [SN]

Why does driving pressure matter in ARDS? Listen to Amato himself discuss this in a lecture from DasSMACC. [SO]

Sgarbossa’s criteria are useful for identifying ST elevation in pre-existing LBBB, but can be confusing sometimes, as this case from Dr Smith demonstrates. [SO]

Is tenecteplase non-inferior to alteplase when used prior to thrombectomy in ischaemic stroke? Fraser Magee reviews the EXTEND-IA-TNK for The Bottom Line. [SO]

The Best of #FOAMus Ultrasound

Wondering about the hard evidence for the scans you do? Fresh from @thepocusatlas, see this super resource The Evidence Atlas for core POCUS applications [CMD]

POCUS for appendicitis: the ultrasoundgel.org team talks pretest probability in APP for better performance [CMD]

The Best of #FOAMtox Toxicology

The Dantastic Mr. Toxic and Howard podcast tackle the theories surrounding how addiction affects the brain. The motivational system and at-risk populations are discussed as well as several pop-culture depictions of addiction. [TCN]

The Best of #FOAMpeds Pediatrics

HOCM, WPW, Brugada, ARVD and QT abnormalities…Review these EKG Killers in Parts one and two of the latest plays from the PEM Playbook. [MMS]

Don’t Forget the Bubbles presents the The 18th Bubble Wrap: a roundup of new and noteworthy publications in pediatric critical care. [SN]

The Best of #MedEd FOAM and #FOAMsim

Fantastic post by Ken Milne at The SGEM on the power of kindness. This is a book review and so not his typical EBM critical appraisal podcast. But its such a great reminder for all of us. [SR]

Overinvestigation in EM can kill. In this EM Cases’ Best Case Ever podcast, Shahbaz Syed discusses this concept and how rational resource utilization is key to prevent it. [MMS]

Present your most palatable narrative “dish” in Chopped EM! Latest innovation in AliEM IDEA series from EM educators at Thomas Jefferson University Hospital. [MMS]

Check out more education innovations on display at AliEM, including this novel introduction of a website to enhance residency emergency ultrasound curriculum. [RP]

Politics or p-values? It turns out that determining disaster-related deaths is tough statistical work. The Methods Man takes us through that well-publicized recent NEJM study. [RP]

There’s a compassion crisis in healthcare. Listen to Steve Trzeciak discuss compassionomics in a compelling lecture via EMDaily. [RP]

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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