We’ve changed the format of how we’re presenting EMU on LITFL. We’ll be highlighting the contents of EMU in a highly abbreviated, but still informative form – so you know what to look for. You’ll need to read the full update for all the analysis, criticisms, debates and (of course) the humour.
So, what are you waiting for?
Also, remember to check out previous editions of EMU on LITFL here.
So what’s in this month’s EMU?
- ‘Lift and slide’ is better than log roll in cadavers for spinal immobilisation (J Trauma 70(5)1282)
- NTPROBNP looks promising as a way of determing if there is a right atrial thrombus before cardioverting AF. (Heart 97(11)914)
- PE — it is a tricky condition when it is a non-thrombotic embolus… (J Thromb Thromb 31(4)436)
- Some PE patient’s can be sent home – but which ones? (Lancet 378(9785)41)
- There is a post-thyroidectomy clinical image challenge.. too easy? (CMAJ 183(8)e498)
- Remember to put water in your ETT cuffs for aeromedical retrievals. (PEC 27(5)367)
- Be prepared to not be prepared on in-flight emergencies! (Trav Med Inf Dis 8(6)388 and JAMA, 305(19)2003 )
- Emergency docs can sew up nailbed lacerations. (ibid p375)
- Bedside ultrasound beats chest x-ray for lots of pulmonary and pleural conditions (Chest 139(5)1140)
- Should you put upper extremity DVTs on warfarin? Yes, No, Maybe… (Ann Vasc Suyrg 25(4)442)
- Don’t be vitamin D deficient if you get septic shock! (AEM 18(5)551)
- A meta-analysis says you can sew up abscesses after they’ve been drained (AJEM 29(4)361) and you might want to give needle aspiration a miss because of dry taps (Ann Emrg Med 57(5)483)
- Don’t torture your patients with NG tubes — use lignocaine jelly not KY (AJEM 29(4)386)
- Hearing loss, vomiting and ataxia? Can you puzzle out the cause? (Lancet 378(9787) 288)
- Recurrent abdo pain and vomiting in kids… a diagnosis you need to know. (J Ped Health Care 24(6)372 and (Cephalagia 6(4)223)
- Refractory hypoxia in ARDS: remember PEEP and ECMO (CCM 39(6) 1562 and ibid 1576)
- Acute chest syndrome in Sickle Cell Anemia (Blood 117(20)5297)
- How not to cause cardiac tamponade from CVC placement (Anest Analg 112(6(1280)
- Think before putting in a urinary catheter… First do no harm (Am J Med Sc 341(6)474)
- Trigeminal neuraligia, tegretol and nerve blocks (Post grad Med J 87(1028)410)
- Chronic ketamine use kill the liver, the kidneys and the bladder (BJU 107(12)1881)
- The ins and out of hyperemesis gravidarum… just don’t use phenothiazines (Arch Gyn Obstet 283:1183)
- Got CHF? Diuretics make you feel better and probably don’t harm your kidneys (JACC 57(22)2242)
- Who owns procedural sedation? The war between anesthetics and emergenccy medicine (Ann Emerg Med 57(5)470)
- The portable chest x-ray — what the radiologist (and ER doc?) should know (AJR 196(supp6) s45)
- TEN and Stevens-Johnson Syndrome reviewed (CCM 39(6)1521)
- Letters from Barry Brenner and Ken Iserson and LITFL comments from Steve Wake and Jay Baker
- EMU essays on movement disorders based on Arch Neuro 68(5)567 and legal medicine based on JEM 41(6)598
So what’s not in this month’s EMU?
EMU tends to steer clear of two of the big guns — Annals of Emergency Medicine and the New England Journal of Medicine — because most people see these journals and they’re covered elsewhere. For instance there are these audio productions: