LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog

LITFL review

Welcome to the 315th 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 FOAM.

The Most Fair Dinkum Ripper Beauts of the Week

Nick Cummins

Rob Macsweeney of Critical Care Reviews posts the 2 hour livestream of the ADRENAL Trial as FOAM. Fast forward to 1:01:31 to see the beginning of the presentation and save an hour of your time.  This international RCT of 3800 patients in septic shock showed no difference in 90 day mortality, but an improved shock reversal, LOS in the ICU, blood transfusion requirements, and shorter time needed for mechanical ventilation in those given hydrocortisone vs placebo. We still don’t have long term outcomes, however the authors are planning on publishing 6 month outcomes at a later date. See too other notable FOAM on the same study,:EM Lit of Note, EM Crit, and The Bottom Line also analyze the recent ADRENAL trial results. [SR] 

Also from Rob Mac Sweeney and the Critical Care Reviews team comes the CCR Book 2018–all the best critical care trials of 2018 distilled and discussed for easy reading. Absolutely essential #foamed. [SO]


The Best of #FOAMed Emergency Medicine

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • A ton of podcasts from the UK ICS State of the Art Meeting are bubbling up as FOAMed. This panel discussion on early mobilisation in ICU is a great start. Maybe follow it up with a debate on ICU decision making? [SO]
  • Latest REBEL Cast discusses opioid sparing pain control options in the ED. [MMS]
  • The St. Emlyns team discusses a new trial in the works called CRYOSTAT-2, evaluating the usefulness of early cryoprecipitate in patients with trauma and major hemorrhage to see if 28 day mortality will be reduced.  This is the follow-up trial to CRYOSTAT-1. [SR]

The Best of #FOAMtox Toxicology

The Best of #FOAMus Ultrasound

The Best of #FOAMpeds Pediatrics

The Best of #FOAMim Internal Medicine

The Best of #MedEdFOAM and #FOAMsim

  • Learn to foster deep engagement with your team with an in-depth look at three principles. [MMS]
  • Simulation debriefs can be tough and difficult. Listen to Center for Medical Simulation’s recent podcast on the demons of debriefing and how to deal with them. [MMS]
  • Check out #HMIeducators on Twitter for some great #MedEd tips and pearls. [MMS]

News from the Fast Lane

  • Andrew Davies completes part 1 of his best moments of 2017 with part 2 in the Mastering Intensive Care Podcasts. With such excellent guests this is a must listen. [SO/ML]

Reference Sources and Reading List

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Last update: Jan 22, 2018 @ 8:43 am

LITFL Review 315
Marjorie Lazoff, MD

Article source here:Life in the Fast Lane