LITFL Review 340

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Welcome to the 340th 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

Skeptic’s Guide to Emergency Medicine (SGEM) Xtra has posted Season #4 Book! Ken Milne continues in his quest to shorten the KT window in his latest season of the SGEM. (The first link also provides access to Books 1-3). [MMS]

The Best of #FOAMed Emergency Medicine

This is an absolutely outstanding quick reference card for can’t-miss ECG findings in the ED via ALIEM. [RP, TCN]

Is the problem with thrombolysis trials in stroke due to the lack of an appropriate control group? Rory Spiegel shares his thoughts in a challenging post. [SO]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

Jonny Wilkinson has another fantastic collection of articles and clips in his best of #FOAMed for July. [SO]

Scott Weingart and Robert Sutton discuss advanced physiological-guided cardiac arrest resuscitation in a new EmCrit podcast. [SO]

Deranged Physiology have updated their post on troubleshooting pacemaker circuits. [SO]

The Best of #FOAMus Ultrasound

We don’t often feature Twitter thread, but this is an amazing diagnosis made using #POCUS post op/ See this thread by @PARADicmSHIFT [CMD]

Resa Lewis in her AHRQ commentary discusses POCUS as powerful and intimately connected to patient safety. Its strength and limitations should be understood in the context of clinical evaluation to elevate its practice. [MMS]

Pneumatosis Intestinalis is an important sign in the diagnosis of intraabdominal pathology- and can be seen with POCUS. Thanks Sonostuff for the clip! [SO]

The Best of #FOAMtox Toxicology

Poisonings treated (and caused by) the ICU are presented in this latest post from the Maryland CC Project. Josh D. King, MD reviews common toxicities that warrant ICU admission as well as their toxidromes. Novel antidotes and several iatrogenic toxicities are discussed as well. [TCN

The Best of #FOAMped Pediatrics

Rich Byrne and the EMDaily crew summarize the recent NEJM article showing no difference in fluid choices in pediatric DKA. [RP]

PEM Playbook provides a great review on a concussion, which includes its diagnosis and plan of attack following this. [MMS]

The Bottom Line take a look at the Franklin trial on HFOV in infant bronchiolitis. An excellent review by Alissa Hayling from the Alfred. [SO]

The Best of #FOAMim Internal Medicine

Smallpox (variola) has been eradicated, but it remains in laboratories in the United States and Russia (and hopefully nowhere else). With herd immunity gone, the nightmare scenario now is a weaponized smallpox.. With that in mind, F. Perry Wilson, The Methods Man, takes us through tecovirimat, a newly FDA-approved treatment for smallpox. [RP]

The Best of #MedEd FOAM and #FOAMsim

Letter writing season has returned! Use this guide on avoiding unconscious gender bias in every letter of recommendation that you may write. [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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