LITFL Review 355
Welcome to the 355th 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
Still looking up the criteria for statin benefit groups and muddling about with the alphabet soup of PCSK9 and HMG-CoA-reductase inhibitors? Then let Stormi Gale, PharmD, BCPS, BCCP calm your nerves with her review of the new 2018 ACC/AHA Cholesterol Guidelines. Major takeaways include changes to ASCVD risk stratification, recommendations for non-statin therapies, and the reappearance of LDL-C goals. [TCN]
The Best of #FOAMed Emergency Medicine
- What’s the latest literature on TIA, particularly risk stratification, and treatment? Find out over at EMCases. [MG]
- You may know the Glasgow Coma Score was updated in 2014, now called GCS-40. If not, catch up on the Trauma Professional’s Blog. Starting in 2019, GCS-40 will be incorporated in Trauma protocols such as American College of Surgeons Trauma Quality Improvement Program and National Trauma Databawse , [MG]
- Justin Morgenstern and First10EM features a fantastic short review on what the Emergency Provider needs to know about Myasthenia Gravis. [AS]
The Best of #FOAMcc Critical Care and #FOAMres Resuscitation
- Providing muscle paralysis without sedation to an intubated patient should never be done, for obvious reasons. Thank you Andrew Merelman for the timely reminder. [SO]
- Here’s a great video of a landmark subclavian line insertion from Scott Aberegg- a valuable skill to have in a pinch! [SO]
- Our own Salim Rezaie takes us beyond ACLS in an excellent post on the topic from St Emlyn’s. [SO]
- A new Internet Book of Critical Care chapter is upon us- this time on Meningitis and Encephalitis. [SO]
- Josh Farkas at PulmCrit brings us an incredibly comprehensive review of alpha-2 agonist pharmacology and utility, particularly their uses in the ICU. [RP]
The Best of #FOAMtox Toxicology
- The latest post from the Tox and Hound blog by Jeanna Marraffa, PharmD details the mechanisms and effects of loperamide toxicity. How and why this over-the-counter antidiarrheal is being abused, as well as the presentation and management of patients presenting after overdose, is reviewed thoroughly. [TCN]
The Best of #FOAMus Ultrasound
- The Ultrasound podcast take us through the second part of learning about diastolic dysfunction. Check it out to take your echo to the next level. [SO]
The Best of #FOAMpeds Pediatrics
- The 24th “Bubble Wrap” summarizes some of most impactful recent pediatric literature. With quick hits on non-operative treatment of appendicitis to understanding prolonged PICU stays, there’s something for everyone. [RP]
- Does that kid have “recurrent croup?” Or is it something more sinister? This is an outstanding Pediatric EM Morsel on tracheitis in children. [RP]
- Reviewing Neonatal Group B strep infections over at Ped EM Morsels [AJB]
The Best of #MedEd FOAM and #FOAMsim
- Use #FOAMed but use it wisely. Coauthored by one of my partners. I thought it was a nice reminder not to be enamored by the “celebrities” of EM but to look at FOAMed with the same critical eye we afford everything we read.[AJB]
News from the Fast Lane
- 5 Lessons from Osler
- The ultrasound library kicks off with the first cases in the Top 100 ultrasounds, and the lung module series
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.