LITFL Update 054

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.
Quincke’s Triad: Right upper quadrant abdominal pain, GI bleeding, and jaundice as the hallmark presentation of hemobilia. This triad has classically been linked to ruptured hepatic artery aneurysm, but modern understanding recognises a broader set of causes.
Procedure – Haematoma Block: Haematoma block is a practical alternative to sedation for fracture reduction. Simple, effective, and resource-sparing, it’s a core ED skill. Detailed written instructions and explanation are here.
History of Electroconvulsive Therapy (ECT): ECT is a form of neuromodulation primarily used to treat severe psychiatric disorders, and is one of the most effective and controversial therapies in psychiatry. Indications, cautions, history, and more.
Latest updates from the #FOAMed world
The latest releases from the American Heart Association (AHA) and the European Society of Intensive Care Medicine (ESICM) on post-cardiac-arrest care have landed — and, as detailed in EMCrit’s “PulmCrit” breakdown, they don’t quite align.
In this crisp, high-stakes review, Andy Neill takes us into the resus bay to dissect how to manage the truly deteriorating PE patient – the one whose physiology, not just imaging, signals impending collapse.
If you’re teaching ventilation in the emergency department, this guide is a must-read — focused, practical, and tailored to the resus bay. The article walks you through safe ventilation techniques from induction to ongoing management, framed around real-world ED demands.
Bedside ultrasound isn’t just a luxury — in the right hands, it can save a life. This article gives a crystal-clear run-through of how to use POCUS in the crashing patient to detect the dreaded Cardiac Tamponade fast.
LITFL Comms
Newsletter Updates
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 |



