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 334th 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.

Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription

The Most Fair Dinkum Ripper Beauts of the Week

Nick CumminsDon’t Forget the Bubbles features a powerful talk by Natalie May about patient needs and lessons we can learn from the culture of pediatric EM and their application in adult patients. [AS]


The Best of #FOAMed Emergency Medicine

  • Fantastic comprehensive approach to the care of the agitated patient featured on EM Updates. [AS]
  • EM Ottawa provides an excellent review of urgent care potpourri looking at the evidence on management of corneal abrasions, distal phalanx injuries and epistaxis. [MMS]
  • A patient with a clear cut acute coronary occlusion on EKG presents with a history of recent normal angiogram. Is this even possible? Dr. Smith gives some pearls to keep in mind when you are encounter this conundrum. [MMS]
  • Concussions can be emotionally impactful, especially for an active individual. EM Pulse gives a deep dive into concussion on what we can do to better assess, manage and counsel our patients in the ED. [MMS]
  • Could subdissociative-dose ketamine be a good strategy for moderate to severe pain management in geriatric patients, who are often not ideal candidates for opioid analgesia? Brian Hayes reviews a recent paper by Dr. Sergey Motov and colleagues. [SN]
  • Over at ICU Revisited, Aron Hussid reviews a recent JAMA article evaluating successful first-attempt intubation rates when using a bougie vs. endotracheal tube and stylet. [SN]

The Best of #FOAMcc Critical Care and #FOAMres Resuscitation

  • Aidan Burrell reviews the EOLIA trial looking at ECMO in severe ARDS for The Bottom Line. An amazing trial which has left many more questions than answers… [SO]

The Best of #FOAMtox Toxicology

  • Got a case of sulfonylurea-associated hypoglycemia? This week’s Tox and the Hound post reminds us to reach for octreotide when rebound hypoglycemia occurs after dextrose boluses. [SN]

The Best of #FOAMus Ultrasound

  • Diastology can be a difficult concept to grasp! Save this diastology primer sheet by Stephen Alerhand next time you review this complicated topic. [MMS
  • Learn the potential life-saving stellate ganglion nerve block to keep in your armamentarium when dealing with ventricular storm. [MMS]

The Best of #FOAMpeds Pediatrics

  • Head over to Don’t Forget the Bubbles for a concise summary of situations in which evaluating BNP in pediatric patients might be clinically useful. [SN]
  • Also over at Don’t Forget the Bubbles, a review of the most common foreign body ingestions in pediatric patients and which require emergent removal. Bonus FOAM: the nutritive value of earthworm ingestion. [SN]

Reference Sources and Reading List

Brought to you by:

LITFL Review 334 Marjorie Lazoff, MD

Article source here:Life in the Fast Lane