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 320th 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

Deep dive into flu controversies on this episode of FOAMcast, including a review of the CDC recommendations and evidence from a 2014 Cochrane Review. [MMS, SR]

The Best of #FOAMed Emergency Medicine

  • Dr. Smith’s ECG blog features a fantastic post on a patient with shoulder pain. The specifics, while important, aren’t the big takeaway. Rather it is the focus on being an advocate for your patient and not succumbing to believing that the specialist knows all. [AS, SR]
  • This great review from CanadiEM is a timely reminder on the assessment and management of suspected DVT in ED. [CC]
  • In case you missed last week’s 2018 changes to the ATLS 10th Edition text, here’s a second pictorial summary of a review of the updates you need to know about. [MG/ML]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • You won’t want to miss “The Great Lactate Debate” Part 1 and Part 2, where Jon-Emile Kenny explains the incredibly complex interplay of acid-base physiology and finds fault with the Stewart approach. [RP]
  • Paul Marik reports on a recent meta-analysis comparing SIRS vs qSOFA in screening patients for mortality.  Bottom Line: SIRS was better. [SR]
  • Are you all ‘Sepsis-ed’ out?  Not me!!  From pre-hospital antibiotics to paracetamol for fever.  A stonking topic review from roadside to resus with the Resus Room team. [CC]
  • Rory Spiegel and Ken Milne cover the ADRENAL trial. This is a great critical appraisal and for those interested in how to critically appraise a research study, be sure to read and listen to this post. No difference in 90d mortality, and secondary outcomes are hypothesis generating.  [SR]
  • The READS trial assessed the ability of critical care physicians to identify ARDS on CXR- and is reviewed by the Bottom Line this week. [SO]
  • Jonny Wilkinson has a great collection of clips, infographics and links in the Critical Care Northampton review of February. [SO]

The Best of #FOAMtox Toxicology

  • Scott Weingart and Bryan Hayes discuss the use of physostigmine in anticholinergic overdose. Ensure you have cardiac monitoring and atropine at the bedside. [SR]

The Best of #FOAMus Ultrasound

The Best of #FOAMpeds Pediatrics

The Best of #MedEdFOAM and #FOAMsim

  • St Emlyn’s has an amazing discussion with Liz Crowe on debriefing in critical care. [MG]
  • Great post by Mike Lauria on the psychology of FOAM, and how it is related to game playing. Challenging ourselves, inter-connectedness, and it just feels good. [SR]
  • Discovering how we learn: A conversation Dr. Geoff Norman (PhD nuclear physicist) on how the brain processes information so we can apply it in our educational practice. [MMS]

Reference Sources and Reading List

Brought to you by:

Last update: Feb 27, 2018 @ 2:25 am

LITFL Review 320
Marjorie Lazoff, MD

Article source here:Life in the Fast Lane