The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
- We all have bad days and cases, that’s the nature of the business were in. When a case doesn’t always go the way we like it, our has us challenging our inner self, we often debrief in our heads, with our colleagues or the dog, but how many of us would put it on a podcast for the world to here? Well that is what Cliff Reid of Resus.ME has done, hes jumped on Scott’s couch and discuss the inner points of a cardiac arrest case he was in charge off in the Mind of the Resuscitationist with Cliff Reid -This podcast really does exemplify the man and doctor that Cliff is, something we all should aspire to.
The LITFL Review Top Picks
- Things that go Bump in the Night - Casey has a cracker of a case for you to solve…An 8 year boy who presents in the middle of the night post a seizure. Ok sherlocks what is the diagnosis?
- Things I have yet to see - Andy shares with us a list of things he’s yet to see in EM. What’s on your list?
- Need to keep track of your procedures and skills? Always loosing or misplacing your log book? Andy has the answer to your problems in The search for the perfect log book.
- Patients per hour, turn-over and efficient use of staff- Excellent article, the system needs to change, ED nurses and Doctor spend way to much time with admitted inpatients, than actually getting on with job of sorting out the resuscitating emergency department patients.
- Emergency physicians providing stroke ‘lysis in the UK - Once again regardless of whether you believe in thrombolysis for stroke or not, if your institution is doing it, this article can help reduce the time to thrombolysis.
- More on the meaning of lactate values. Bottom line: 1 lactate begets another lactate. Ensure your patients are on the right path and clearing their lactate.
- Flumazenil for BZD overdose: getting away with it or just stick with excellent supportive care like the majority of us do, and ensure your patient a good outcome.
- Chest Pain Gives Me Chest Pain - Seth challenges some recent literature that states there no such this as unstable angina, in today’s age of high sensitive troponins. Its seems now were still stuck between doing everything and doing nothing in this patient group.
- EmergencyMedicineCriticalCare #FOAMEd – the next step - The future of #FOAMed is looking bright. Minh share his thoughts and recent discussion on how he and a few others think the concept of #FOAM, should head to in the future. What are others thoughts on this?
- Dr Peter Sherren’s Best conference presentation winner Aeromedical Australasia,Cairns, 2012 - Minh shares with us two excellent talks from Peter, on using physicians during winching retrievals and the second looks at a coagulopathy on severe burn patients, two excellent pieces of research worth checking out.
- Sux vs Roc – why Sux still holds an edge in RSI- Minh’s opened back up a can of worms here. This article isn’t exactly going to give you the answer on which drug is best, however it does show it was easier to do BVM with suxamethonium.
- Podcasts in Emergency Medicine Wow…There’s how many….The power of the FOAM.
- Emphasis on Grades - forget the grades, we as educators and students need to focus more on the learning, and the grades will come. Wish Rob was around when my school report cards came home…could have done with the advice then!
- The Course of all Courses… Is coming. Check out the video for more.
- HB- How low can you go? I know we have some MacGyver Doc’s around, but this is a MacGyver patient, who survived 10 hours of surgery with a HB of 0.7g/dl…What the….Great case an article, also providers us with some recent literature on outcomes in bleeding Jehovah Witness patients.
- When Quick Meme and LITFL collide! - Very clever Andre, Loved it.
- I’ve Been Framed! My #twitterstatslesson - Lauren teaches us a thing or two about statistics with a hand from Twitter!
- Kidspeak: Talking the talk. - Ian gives us an excellent summary on how to communicate, engage, explain equipment and procedures with our paediatric patients. Great summary Ian learnt lots, worth reading if you come in contact with paeds in your practice.
- This weeks ECG - can you crack the case! Even John has struggled!
- What is the dose of Australian snake antivenom? Well its changed for tiger snake antivenom according to recent literature. Take home point: A single dose of antivenom is the appropriate dose for all Australian snake envenoming requiring treatment.
- Unilateral hyperlucent hemithorax - when one side of the chest is more lucent (black) than the other on a frontal chest radiograph. Check out the post to find out the causes of this.
- Ioana shares with us quick 12 point summary on the steps you need to take in the management of increased intracranial pressure.
- Creating a personal learning environment - Whats yours. don’t have one Javier gives you the points on were to start.
- Paucis Verbis: Electrolytes and ECG changes - Nice nifty little summary!
- Sean has uploaded a great collection of Paediatric Procedural videos to his pediatric procedures page- some great stuff worth watching there.
- Limping Princess - The limping child is a frequent but often difficult case for us to manage. This post covers the basic assessment and management approach you need to take the next time that child’s limps through your triage doors.
- Little white lies in the resus room. One of the downsides of working in emergency is something that we need to be competent in, will probably never really be something that we can enjoy. These encounters that Simon describes in this post are always challenging and often devastating for those involved, we learn from them, and go back and hope to do it better the next.. A must read post!!
- Unnecessary Post-Reduction X-Rays? Take home point: minimally displaced, minimally angulated extremity fractures that do not receive manipulation when splinting should not be re-imaged after splint application.
- Longer Resuscitation “Saves”. Like most cardiac arrest literature this focuses on patients with patients who gets ROSC! Who cares about ROSC, its RONF that we should all be measuring as successful cardiac arrest outcomes.
- Updates in Traumatic Brain Injury - Kent shares with us some pearls and pitfalls for optimising brain resuscitation in the critically ill TBI patient.
- Trauma - Kent tries the flipped classroom approach, with a basic introduction to the trauma patient. He provides us with a detailed written summary, some great images & videos, a podcast and finishes off with some question…Tailored to everyone’s learning needs. I’m sure the FOAM community looks forward to more post like these from Kent.
- The Godfather SpeaksThat’s right Mike has a chat with Vivek Tayal on the past the present and the future of Emergency Ultrasound, in this weeks podcast!
- Dizziness: TAC make too many? Take home point: CT is generally not useful in the vertigo patient in the ED, MRI may have a limited role in selected cases.
The LITFL Review Shout Out of the Week
- This weeks shout-out goes over to Canada to the team at EmergencyLondon. The site provides us with great video summaries from their weekly grand rounds and journal club. Check out last weeks grand round with Reuben Strayer on emergency thinking below:
Twee Dee and Twitical Care
News from the Fastlane
- Mike provides us with some insights on creating Creating The FOAMed Network, this is followed up by a challenging guest post by the devils advocate Mike Jasumback on FOAM, A Deontological Ethos.
- Chris is extremely busy this week chilling by the beach in the Whitsunday’s, with a little bit of lecturing at Critical care 2012- good luck mate!
The Final Words
- “EM can’t be default provider of primary care and retain sufficient capacity to manage true emergency care needs.”
- “There is no medicine like hope, no incentive so great, and no tonic so powerful as expectation of something better tomorrow”
-Orison Swett Marden
That’s it for now…
Hopefully this roundup of the world of electronic emergency medicine and critical care education for everyone helps you to deal with anyone, anything, anywhere at anytime for at least another week! If you’d like to suggest something for inclusion in the next edition of The LITFL Review, email kane AT lifeinthefastlane.com
LITFL Review EM/CC Educational Social Media Round Up
123Sonography.com — Academic Life in Emergency Medicine — Adventure Medicine— A Life at Risk — All LA Conference — Al Sacchetti’s Youtube — Bedside Ultrasound — Better in Emergency Medicine — Broome Docs — CCM-L.org — CLIC-EM — Critical Care Perspectives in EM — Dave on Airways —DrGDH — Dr Smith’s ECG Blog — ECG Academy — ECG Guru — ECG of the Week—ED Exam — EDTCC — EKG Videos — EM Basic — EM Core Content — EMCrit — Emergency Medical Abstracts —EMERJENCYWEBB –EmergencyLondon — Emergency Medicine Cases — Emergency Medicine Education — Emergency Medicine News — Emergency Medicine Ireland — Emergency Medicine Tutorials—Emergency Medicine Updates —Emergucate —EM Literature of Note — empem.org — EMpills — Emergency Physicians Monthly — EM Lyceum — EMProcedures — EMRAP — EMRAP: Educators’ Edition — EMRAP.TV — EM REMS — ER CAST — Free Emergency Medicine Talks — GMEP — Gmergency! — Greater Sydney Area HEMS — HQmeded.com — ICU Rounds — Impactednurse — Intensive Care Network —iTeachEM - keepcaring — Keeping Up With Emergency Medicine — KeeWeeDoc — KI Docs — LipheLongLurnERdok — MDaware — MD+ CALC — MedEDMasters — Medical Education Videos — Medicina d’urgenza — Medicine for the Outdoors — Micrognome — Movin’ Meat — Neurointensive Care — Pediatric EM Morsels — PEM ED — PEMLit — PHARM — Practical Evidence — Priceless Electrical Activity — Procedurettes — PulmCCM.org — Radiology Signs — Radiopaedia — Resus.com.au — Resus.ME — RESUS Room — Richard Winters’ Physician Leadership —ruralflyingdoc — SCANCRIT — SCCM Blogs — SCCM Podcast — SEMEP — SinaiEM — SinaiEM Ultrasound — SMART EM — SonoSpot — StEmylns — Takeokun — thebluntdissection—The Central Line — The Ember Project —The Emergency Medicine Resident Blog — The NNT — The Poison Review — The Sharp End — The Short Coat —The Skeptics Guide to Emergency Medicine — The Sono Cave - The Trauma Professional’s Blog — underneathEM.com — ToxTalk — TJdogma — Twin Cities Toxicology — Ultrarounds — UMEM Educational Pearls — Ultrasound Village