LITFL Review 354

Welcome to the 354th 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

The Medical Malpractice Insights series at EMDocs.net gives important perspective on cases with bad outcomes in the ED. Your gut tells you the doctor in this case is not responsible, but can you articulate why? [RP] 

The Best of #FOAMed Emergency Medicine

• One of the challenges with studying ECG changes is finding good cases with serial ECGs. This week, Dr. Smith features a prehospital case of 10 ECGs showing thrombus progression. [MG]
• What’s Old is New Again. Should we be giving whole blood to patients with traumatic hemorrhage? Zaf Qasim and the St. Emlyn’s crew review the literature. [AS]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

• Low tidal volume vs intermediate tidal volume for intubated non-ARDS patients. The bottom line shows no superiority for either. It may be judicious to use 6/8mk/kg for lung ventilation safety. [AJB]
• Great video from George Kovacs on the incrementalization of EVLI airway management.  EVLI = Epiglottoscopy, Valleculoscopy, Laryngoscopy, & Intubation. [SR]
• The 2018 International Fluid Academy meeting has just been completed. Check out all the content. Get stuck in! [SO]:
  1. David Lyness has collated the infographics shared by the social media team into one page – including pearls on ECMO, POCUS, acid-base balance, and more!
  2. Jonathan Downham recorded some podcasts with the Social Media team and some special guests…
  3. Some great podcasts by the team at TopMedTalks on Fluid therapy, social media in medical education, and electrolyte balance.
• More great ECMO education from the INTENSIVE blog- this time looking at cannula (mal)position. [SO]
• The Australian and New Zealand Intensive Care Society have uploaded all the talks from their recent safety and quality meeting onto YouTube as FOAMed! Start with this one on improving end of life care… [SO

The Best of #FOAMus Ultrasound

• Is #POCUS accurate for small bowel obstruction? Check out the ‘poo and the fro’ from @PratsEM and team [CMD]
• Listen to the wizards of #POCUS @ultrasoundpod tell us all about diastolic heart failure in this podcast series [CMD]
• …and the diastology fun continues with 5minsono! [JSh]
• Here’s a great video from Richard Fisher, an intensivist in the U.K., talking through a focused echo protocol based on the new British Society of Echocardiography Level 1 accreditation. [SO]

The Best of #FOAMpeds Pediatrics

• When “flu-like illness” isn’t the flu—consider carbon monoxide poisoning in your differential this winter! CO diagnosis and management is covered at Pediatric EM Pearls. [RP]
• What to do when your week-old patient is yellow? Great review of neonatal jaundice by the team at Don’t Forget the Bubbles. [RP]

The Best of #FOAMim Internal Medicine

• A Swedish registry study adds to the suspicion that the origins of a deadly brain disease lie not inside the skull, but within the gut. Perry Wilson explains at the Methods Man blog. [RP]
• What is IgG4 retroperitoneal fibrosis? I’m not sure, but The Curbsiders provide a framework for diagnostic reasoning and a structured cognitive approach to cases that have you stumped. [RP]

The Best of #MedEd FOAM and #FOAMsim

• Do words matter? I think we all agree that they do and Nat May tells us why the word sexy doesn’t belong in medicine. [AS]
• Everyone talks about cognitive load, but do you know the theory behind it?  Nick Harvey Smith takes a complex topic and breaks it down into a simple formula involving cognitive capacity, intrinsic load, extraneous load, and germane load. [SR]
• Check out Volume 2 of the ALIEM Educational Theory Made Practical eBook complementing Volume 1. Great resource for educators at all level! [MMS]
• Simon Carley discusses learning in the Social Age, and concludes that we probably need to do things a little differently. [SO]

News from the Fast Lane

• We frequently discuss ways to optimize learning but what about “unlearning.” Our own Chris Nickson dives into the science behind this challenging concept.
• The ECG library has been re-written and re-formatted
• The Eponymictionary database reaches 200
  

LITFL Weekly Review Team

Reference Sources and Reading List