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LITFL review

Welcome to the 331st 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.

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The Most Fair Dinkum Ripper Beauts of the Week

Nick CumminsOne of the most challenging blog posts I have ever read is this one on codependency and the (emergency) physician from St Emlyn’s. Food for thought. [SO]

The Best of #FOAMed Emergency Medicine

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Josh Farkas discusses a simple airway algorithm to deal with intubating a patient who is actively vomiting: The Drowned Airway Algorithm. [SR, MG]
  • David Carr recently presented at dasSMACC with the attention-getting title, “Endocarditis will also f&*k you up.” Easy to remember “fever plus…” criteria for identifying suspected endocarditis and current management practices are presented as a means to avoid missing this critical diagnosis. [TCN]
  • The EDECMO podcast hosts Dr. Heidi Dalton to discuss her approach to ECMO for sepsis. An important discussion, as sepsis was once considered a contraindication for ECMO. Dr. Dalton describes which septic patients to consider ECMO for and when to initiate extra-corporeal support. [TCN]
  • The classic teaching for LVAD patients in cardiac arrest is to withhold chest compression, but the NAEMSP blog has an important literature update. [MG]
  • The Bottom Line review a recent NEJM paper on Thrombectomy 6-24 hours after stroke. Nice work Anthony! [SO]
  • ICU is all about “sweating the small stuff”- routine things like VTE prophylaxis and feeding are incredibly important. Deranged Physiology discusses the merits of routine ICU care mnemonics (such as FAST HUGS) in a really detailed post. Not to be missed. [SO]

The Best of #FOAMtox Toxicology

  • David Juurlink makes a case for why we should not be prescribing Tramadol. It should be called Tramdont as it can cause seizures, serotonin syndrome, drug-drug interactions, hypoglycemia, dependence, addiction, and death. [SR]

The Best of #FOAMus Ultrasound

The Best of #MedEdFOAM and #FOAMsim

Reference Sources and Reading List

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LITFL Review 331 Marjorie Lazoff, MD

Article source here:Life in the Fast Lane

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