LITFL Review 351
Welcome to the 351st 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
Simon Carley and Rory Spiegel each review a new paper on cricoid pressure during RSI. Do we still need it? It appears true aspiration events are uncommon and cricoid pressure seems to fail in preventing them. These reviews remind us of the brilliant and hilarious discussion of cricoid pressure by John Hinds. [SR, AS]
The Best of #FOAMed Emergency Medicine
- Prolonged steroid tapers for COPD exacerbations went out the window in 2013. The team at PulmCCM presents a very brief review of the literature landscape. [RP]]
- The use of beta blockers in myocardial infarction is a complex and controversial topic. EM ECG guru Steve Smith tackles the topic at his ECG Blog. [RP]
- Ryan Radecki at EM Literature of Note writes about the PREMEVA Trial, recently published in Lancet. Our frequent testing for bacterial vaginosis in pregnancy seems to be of limited benefit. [RP]
The Best of #FOAMcc Critical Care and #FOAMres Resuscitation
- Cardiac arrest science on EMCrit with Zack Shinar. Shockable rhythm can have neuro intact survival with CPR out of 47 min and PEA should probably not be an exclusion for ECMO (i.e. These patients can have a 23% neuro intact survival). [SR]
- Clay Smith reviews some of the evidence for best practices in prehospital airway management. Prehospital intubation occurs infrequently in many EMS systems and a difficult skill set to maintain. Prehospital intubation may be harmful to patients if done by those with less experience. [SR]
The Best of #FOAMtox Toxicology
- What is Novichok and what role do organophosphate pesticides play in international counterintelligence intrigue? Learn all about nerve agents and spycraft in this post by The Tox and The Hound team at EMCrit. [RP]
The Best of #FOAMus Ultrasound
- The next time you see a distal radius fracture, consider the RAPTIR nerve block. Learn this single-injection nerve block that gives excellent pain control for closed reduction. [MMS]
The Best of #FOAMpeds Pediatrics
- Understanding the physiological differences between children and adult can make all the difference in being better equipped in caring for the critically ill child. Frank Lodeserto discusses this concept in the presentation of shock. [MMS]
The Best of #FOAMim Internal Medicine
- Have three minutes to spare? The Methods Man reviews a JAMA paper investigating macrovascular outcomes in patients undergoing bariatric surgery. [RP]
- Dr. Lina Mackelaite talks about Acute Kidney Injury at Louisville Lectures–everything that causes AKI and how to treat it! [RP]
The Best of #MedEd FOAM and #FOAMsim
- The team at UltrasoundPodcast discuss how to lecture about ultrasound [JSh]
- Simon Carley gives us some tips to improve teaching during crazy, busy shifts. Post It Pearls, #FOAMed Scripts, Social Media (i.e. Whatsapp), and Hot Debriefs (i.e. STOP5). [SR]
- What are consistent behavioral expectations? The EM Over Easy team discusses managing event reactions to achieve better outcomes. [RP]
- The Royal College’s new Adaptive Leadership For The New MedED: The one hour read is out! This excellent free ebook is a must read for all MedEd educators that are looking to be inspired and seeing MedEd leadership through a new lens. [MMS]
- Will the mystery of the transition from simulation debriefing to clinical debriefing be solved? This WRaP EM summary of the popular #DFTB18 workshop discusses the similarities, yet differences between the two. [MMS]
News from the Fast Lane
- The LITFL ECG Library has been re-written and moved to the new domain. Updated ECGs, explanations and pretty pictures
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] (PulmCCM)
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.