LITFL Review 319

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

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

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

• Fantastic infographic summarizing the 2018 changes to the ATLS 10th Edition text. Finally starting to catch up to the times. [SR]
• Another fantastic review on the use of intravenous lidocaine in renal colic by the ALiEM team.  Evidence in the ED is not that strong, but can still be an opioid-sparing option. [SR, AS]
• PHEMcast this week is all about checklists, and features an outstanding interview with the famed Martin Bromley. [MG]
• Wanting to know how to manage a patient on chronic opioids with acute pain?  Well its not more opioids.  Consider IM or IV Haldol. [SR]

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

• Great tips on performing an ultrasound-guided pericardiocentesis from 5minsono. [LP]
• E-point Septal separation (EPSS) to estimate ejection fraction: what does the evidence say? [CMD]
• Found an occult pneumothorax on lung ultrasound? @thepocusatlas asks what should you do next? [CMD]

The Best of #FOAMim Internal Medicine

• Review Cardiac Arrest on Louisville Lectures. [ML]

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

• Emergency Medicine and Critical Care blog/podcast list
• LITFL Global Blogroll
• FOAMEM RSS feed syndication for global FOAM
• #FOAMed – #FOAMcc – #FOAMres #FOAMped – #FOAMtox – #FOAMus – #FOAMim – #FOANed

Brought to you by:

• Anand Swaminathan [AS] (EM:RAP, Core EM,REBEL EM and The Teaching Institute)
• Chris Connolly [CC] (RCEMFOAMed, FOAMShED)
• Chris Nickson [CN] (RAGE, INTENSIVE and SMACC)
• Cian McDermott [CMD] (POCUS Geelong, SMACC)
• Craig Wylie [CW] (BadEM)
• Jeffrey Shih [JSh](ALiEM)
• Luke Phillips [LP] (POCUS Geelong)
• Manpreet ‘Manny’ Singh [MMS] (emDOCs.net)
• Marjorie Lazoff [ML] (TandemHealth)
• Mat Goebel [MG]
• Matt Siuba [MS]
• Philippe Rola [PR] (Thinkingcriticalcare)
• Rick Pescatore [RP] (EM News UC:RAP)
• Salim Rezaie [SR] (REBEL EM, The Teaching Institute)
• Segun Olusanya [SO] (JICSCast, The Bottom Line)

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

LITFL Review 319
Marjorie Lazoff, MD

Article source here:Life in the Fast Lane