Best Of The LITFL Review 2011

If you were to ask me:

‘How do I find out about web 2.0 and social media education resources for emergency medicine and critical care?”

I’d reply:

“Easy, spend 10 minutes checking out The LITFL Review.”

Just over a year ago it became clear to me that keeping track of all the fantastic free education resources in our field was becoming near impossible for even the most assiduous insomniacal social media savvy technophilic medicos among us. Recognition of this need led to the creation of The LITFL Review – a ‘one stop shop’ that brings together a week’s worth of new educational material from the very best blogs, podcasts, tweets and online multimedia from around the world.

Kane Guthrie has been the furnace in the engine room of The LITFL Review, and we can all be thankful for his weekly Herculean efforts in bringing this all together. Great work, Kane!

Now that a year has passed, it’s time to reflect on just how incredible the free resources that are being shared in the social mediasphere actually are. In doing so, we give you our twenty favourite ‘Most Fair Dinkum Ripper Beauts!’ from the first 52 editions of The LITFL Review:

20. Big Transfusion, Little Hospital = Big Trouble

Casey Parker is one of those MacGyvers of medicine we prosaically call ‘GP Proceduralists’. His enthralling blog, Broome Docs, has rapidly become a staple of The LITFL Review. In this post he highlights the issues facing a small remote centre when facing patients with massive haemorrhage. The post must be read with its follow up: ‘Managing Traumatic bleeding: how can we apply the evidence in smaller hospitals?’.

19. Meningococcal Disease: Pearls and Pitfalls

I was lucky enough to work with Colin Parker in 2010 and picked up plenty of paediatric pearls along the way. Even luckier, his EMPEM podcast keeps getting better and the pearls keep on coming. Colin and team recruited Paediatric Infectious Disease specialist Chris Blythe for this succinct and informative review of the menace of meningococcal disease.

18. The First Resus.ME! Podcast

Cliff Reid’s first podcast is a tantalising taste of what he can do. His insights into resuscitation education and practice are always on the money. Fingers crossed we hear more audio offerings from this great educator in the future.

17. Podcasting in Emergency Medicine

Rob Rogers is the man when it comes to the practicalities of how to educate in emergency medicine. For this episode of EMRAP: Educator’s Edition he brought together two of the shining lights of EM/CC social media learning, Rob Orman and Scott Weingart. What follows is an entertaining nuts-and-bolts discussion of how to make a podcast… which is also, indirectly, a call to educators everywhere to join the social media revolution.

16. Distracting injury in c-spine injuries?

Michelle Lin is to blogging what Rob Rogers is to podcasting. She is an emergency physician with a passion for education and has a social media presence dedicated to the academic aspects of emergency medicine. Her blog, Academic Life in Emergency Medicine, has two core offerings: the Tricks of the Trade and the Paucis Verbis cards. This post is an example of the latter – all you need to know about a topic to make clinical decisions is presented on a card that can be printed out or stored electronically for instant access.

15. IV Spike Cric

CLIC-EM is fairly recent edition to the emergency medicine blogging scene, coming out of Chicago. The blog focuses on brief reviews of interesting and important papers from the emergency medicine literature. We liked this practical do-it-yourself approach to an emergency cric… Handy if you find yourself without your standard kit.

14. Weaning from Mechanical Ventilation

Serious conflict of interest with this one – Oliver Flower is one of my best friends in intensive care and is a LITFL contributor. His ICU Podcasts feature on the Intensive Care Network, a free to registrar social network for anyone interested in intensive care. Oli gives an intensivist’s perspective on how to liberate a patient from the machine.

13. Instinct versus Expertise

I consider Movin’ Meat, along with GruntDoc and Blogborygmi, to be the foundation stones upon which the emergency medicine social media colossus of today is built. Even before LITFL, these guys were bringing emergency medicine to the blogosphere. Movin’ Meat is not strictly an educational resource – though there have been some great educational posts over the years – yet, anyone who consults specialists from the ‘pit’ will learn from this post based on real life experience.

12. Patrick Croskerry: Clinical Decision Making in Emergency Medicine

Free Emergency Medicine Talks is one of the great treasures of the Internet Age for anyone interested in emergency medicine and critical care. Which is no surprise, as it is, in turn, the website of one of emergency medicine’s great treasures, Joe Lex. My eyes lit up when I saw this listed as Joe’s pick of the week… Both myself and EMCrit’s Scott Weingart (and I’d suspect TPR’s Leon Gussow is in the same boat) are starstruck cheerleaders for the work of Patrick Croskerry in bringing insights from cognitive psychology to the ‘perfect storm’ of emergency medicine decision making. Thanks to social media you get hear the gospel from the man himself.

11. ‘Peer Review is dead, long live Peer Review!’

Graham Walker epitomises the tech savvy emergency physician of tomorrow… or perhaps the day after tomorrow. Everyone should know him from MDCalc and his work on, but he also writes elsewhere, including The Central Line. This post – the oldest entry to make the Top 20 – looks into the future of peer review, a subject close to our LITFL hearts.

10. Venlafaxine bezoar causing intestinal necrosis

The Poison Review is, in my opinion, the most under-rated medical blog out there. It’s author, Leon Gussow, has the perfect mix of intelligence, experience and diverse interests to make this the perfect poisons blog… after all, everything is poison… it just depends on the dose. Blogs tend to lack the high impact bedazzlement of a slickly produced podcast or vodcast, but the best blogs are unrivalled in their scope, detail and collation of useful resources – TPR does this well. The staple of TPR is telling us why we should, or (usually) should not, believe the new additions to the tox literature. Leon scores them with his notorious ‘skull and cross bones’ rating system. This post is just an example of the consistently top notch work Leon produces week in, week out.

9. Dr. Rivers on Severe Sepsis – Part I

Imagine if you could create a podcast that feature the likes of Emmanuel Rivers (that’s right, of ‘Early Goal Directed Therapy’ fame) talking about the latest developments in the assessment and management of severe sepsis. In other words, imagine you’re EMCrit’s Scott Weingart… Few could do what he does and then give it away for free. By the way, there’s also Parts II and III…

8. Chest Pain Risk

The SMARTEM podcast is mind blowing. David Newman and Ashley Shreeves get together on a monthly basis to dissect out the whys and wherefores that underlie what we do. Let’s not kid ourselves, listening to each podcast is an exercise in mental stamina – David and Ashley even advise taking it in bite-sized parcels. Yet the listener’s efforts are invariably rewarded, and there are often big surprises in store. My favourites so far have been the Subarachnoid Hemorrhage and Pediatric UTI podcasts, but neither of those were “Most Fair Dinkum Ripper Beauts”… In this one David tells us how he assesses the risk of badness happening to emergency patients presenting with chest pain.

7. Anatomy for Emergency Medicine video series – #1 Cervical Spine

Andy Neill is a LITFL reader from way back, and has gone on to create his own blog called ‘Emergency Medicine Ireland‘. Andy is a bit of an evidence boffin and likes to give his take on recent papers from the EM literature, but he has also started putting his skills as an anatomy tutor extraordinaire to use for ER docs. This is his first video on applied clinical anatomy for emergency medicine.

6. Atrial Fibrillation

If anyone was ever meant to podcast, it was Rob Orman. I may be misremembering, but I think Rob Rogers once likened him to the Barry White of EM podcasting. His curbside consult audio episodes have a captivating conversational style that allows him to really get into the ‘nitty gritty’ with an expert from another specialty. This one gets into the ins-and-outs of AF management with a likeable and knowledgeable electrophysiologist. Its worth listening to for the description of Rob’s first ‘hands on’ cardioversion if nothing else…

5. Haemostatic Resuscitation

This video lecture by Richard Dutton, who we first met on a previous EMCrit podcast on resuscitation of the haemorrhagic shock patient, is one of the best lectures I’ve seen. Dutton really knows his stuff, and is actually one of the pioneers of the modern haemostatic resuscitation approach. What’s more, we get a few glimpses of Baltimore’s Shock trauma Center, which looks like one heck of a place to do medicine. Actually, this lecture shared the top spot of the 23rd LITFL Review with Scott Weingart’s take on The Mind of the Resus Doc: Logistics over Strategy… So check that out too.

4. Bum crack fluid pump

After TPR, Resus.ME is the next most under-rated blog on the planet. Cliff Reid is a reliable source of new ideas and cutting edge insights in resuscitation. As for this post, how could you go past it with a title like that? Need to give fluids fast in a pre-hospital environment, but don’t have a pump? Here’s what to do.

3. Paediatric airway for emergency physicians who are not also paediatricians

One thing I’ve learnt from the past few years of trawling through educational social media, is that if EMUpdates‘ Reuben Strayer makes a screencast you are being irresponsible if you don’t check it out immediately. In this one Reuben tackles the paediatric airway… the words “who are not also paediatricians’ shouldn’t be there – paediatricians will want to check this out too.

2. ERCAST Rant-Off

This episode of ERCast is a classic. Rob invited the world to send him their best rants on an emergency medicine topic. Put together, this makes for riotous listening. For me, Cliff Reid’s effort ensures him a place in the ranter’s Valhalla. Can’t wait for the next ERCast rant off…

1. Delayed sequence intubation

Perhaps more so than anyone, Scott Weingart sets the standard for what can be achieved with educational social media in emergency medicine and critical care. I’ve listened to Scott’s work from its inception, and later discovered that I was already a fan of his thanks to his book on emergency medicine decision making. Make no mistake, if you work in the emergency medicine and critical care fields you need to listen to every single one of the EMCrit podcasts – IT REALLY IS THAT GOOD. Scott’s post on delayed sequence intubation inspired me to adopt this approach in my own practice, and the outcomes have been near magical so far.

I’m sure you’ll agree, that’s a pretty amazing selection of free educational offerings.
But it is only the tip of the iceberg, check out The LITFL Review each week to make sure you don’t miss anything…

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  1. says

    Without the support and extreme kindness of Chris, Kane, Mike, and all of my other friends at LITFL, the EMCrit podcast would be but a fraction of what it is now. I love you guys!!!