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 319th 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

A “proper” set of posts: Rory Spiegel investigates whether we have achieved diagnostic absurdity in the pursuit of pulmonary embolism. [AS, SR]. The same trial as Rory discusses above–the PROPER trial of PERC vs gestalt for excluding pulmonary embolism in the ED–is extensively discussed by Scott Aberegg in his blog. [SO] 

The Best of #FOAMed Emergency Medicine

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Does the day or time of admission to the ICU affect morbidity and mortality in critically ill adult patients? Great review of a recent trial. [SR]
  • Nice post by Justin Morgenstern on post-intubation care.  Have a checklist so things don’t get missed.  Titrate O2, ventilation, look at ventilator waveforms and keep track of your peak and plateau pressures. [SR]
  • Another gem from Josh Farkas on how to use BiPAP and HFNC in respiratory failure.  It’s more of an art than a science. [SR, RP]
  • Celia Bradford evaluates the long-term clinical outcomes after early initiation of RRT in Critically Ill Patients with AKI. There may be some mortality benefit with early RRT, but stay tuned for the STAART-AKI trial which will hopefully answer the optimal timing of RRT in critically ill patients. [SR]
  • Is peripheral vasopressors safe or dangerous? Read a great piece from R.E.B.E.L. EM on the latest evidence. [MMS]

The Best of #FOAMus Ultrasound

The Best of #FOAMim Internal Medicine

The Best of #MedEdFOAM and #FOAMsim

  • How would you describe #YourWorstDay? Listen to this podcast from EM over Easy that inspires us all to be better physicians, providers and better people. Know that you are not alone. [MMS]
  • The REAL CRIC Trainer: Great how-to YouTube video on creating a realistic cricothyrotomy simulator based on the 3D Cric Trainer. [MMS]
  • Managing Chaos in the Emergency Department is a great piece on the skill of managing the multiplicity of patients in a single ED. [MMS]

Reference Sources and Reading List

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Last update: Feb 20, 2018 @ 1:00 am

LITFL Review 319
Marjorie Lazoff, MD

Article source here:Life in the Fast Lane