LITFL Update 060
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.
CT Case 102: A 52 year old man is brought to hospital by ambulance – he’s had 2 weeks of abdominal pain and constipation. He has a systolic blood pressure of 70mmHg, severe metabolic acidosis, and impaired renal function.
FOAM Cortex has been launched. A new Free AI-powered clinical search tool built by emergency medicine (EM) physicians specifically for EM and critical care use at the point of care.
Auto-appendicectomy is the surgical removal of one’s own appendix. The term sits within the broader realm of self-operation (auto-chirurgy) where a clinician performs a procedure on themselves, typically under local anaesthesia, out of necessity or a desire to demonstrate feasibility.
Latest updates from the #FOAMed world
This ECG Guru case shows a patient in cardiogenic shock with subtle but lethal ECG changes that signal an acute coronary occlusion. It’s a powerful reminder that pattern recognition matters, aVR and diffuse ST changes can be red flags, and missing these findings can be catastrophic. A must-read for anyone who interprets ECGs in high-stakes settings.
Cystic fibrosis is a complex, lifelong condition every clinician caring for children needs to understand. This Don’t Forget the Bubbles article breaks CF down clearly and practically — from the underlying CFTR defect to real-world clinical features, diagnosis, and modern management. It highlights key red flags, common complications, and how multidisciplinary care (including airway clearance, nutrition, and new CFTR modulators) is changing outcomes.
Catch the exciting Perimortem C-section presentation from Incrementum 2025, now available to watch online! Hosted by the St.Emlyn’s team, this session showcased one of the most challenging, rewarding, and talked-about resuscitation topics in emergency medicine: how to perform a perimortem cesarean delivery when every second counts. Jess and Tarlan led an incredible live demonstration, backed by a whole team working behind the scenes — blending technical skill with high-pressure decision-making.
In the latest Critical Care Time episode, hosts Nick and Cyrus tackle one of critical care’s trickiest domains — rheumatologic emergencies. They’re joined by Dr Marcela Ferrada — a quadruple-boarded intensivist, rheumatologist, infectious diseases specialist and internist — for a pragmatic, case-based dive into how inflammatory and autoimmune diseases can present like sepsis or catastrophic organ failure in the sickest patients.
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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 |