LITFL Update 051
Sending you free open-access medical (FOAM) content from around the globe. We keep an eye on all the trends and best articles and share them with you so that you stay on top of your field.
This week we cover a practical alternative to sedation for fracture reduction — the haematoma block. Simple, effective, and resource-sparing, it has become a core ED skill.
Suspended animation is defined as the therapeutic induction of a state of tolerance to temporary complete systemic ischaemia. We explore the rationale, procedures, benefits, risks, and current evidence surrounding suspended animation.
A. F. Stanley Kent was an English physiologist and histologist whose eponymous legacy, the bundle of Kent, remains foundational in the understanding of cardiac electrophysiology.
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Andy is back exploring when the liver fails fast: causes from paracetamol to Wilson’s, key clues, early NAC & when to think transplant. Only 9 minutes, packed with pearls for ED and ICU teams.
Are you still reaching for the 500 mL bolus when patients show low blood pressure? Episode 57 of Critical Care Time with Dr Ross Prager challenges simplistic fluid-management rules. Learn to distinguish volume status, fluid responsiveness and tolerance, and venous congestion — so you give fluid only when it helps, not when it hurts.
Septic shock is unpredictable, and classic signs can hide in plain sight. This article gives you a physiology-first playbook — from spotting early clues like altered mental state and mottled skin, to using smart diagnostics like POCUS and nuanced tools like the Four-Interface Model. Whether you’re choosing fluids, pressors, or source control, this piece helps you lead confidently in that critical first hour. Perfect for ED docs, trainees, and anyone who prefers finesse over fixed protocols.
The team at Paediatric FOAMed explore the challenging topic of Neonatal Thrombocytopenia: how timing, maternal history, and neonatal health draw the lines between mild cases and life-threatening immune disorders like NAI.
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Emergency nurse with ultra-keen interest in the realms of toxicology, sepsis, eLearning and the management of critical care in the Emergency Department | LinkedIn |
BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital. Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | On Call: Principles and Protocol 4e| Eponyms | Books |