The LITFL Review 003

Welcome to the 3rd edition!

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 will cast 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

The Usual Suspects


  • The hyponatremic patient who is seizing like a squirrel can be a nerve wracking challenge for any ED doc… but not any more. Scott’s podcast gives you a powerful yet simple guide to managing the hyponatremic patient in the emergency department. Simply follow his 3 step approach, and the rule of sixes, and all the bases are covered.

The Poison Review

Emergency Physicians Monthly


  • Cliff’s post on Open Thoracoscopy for resuscitation the docs, IS A MUST READ POST! Nothing else need be said. Cliff also takes on the always bloody debate surrounding Sux vs Roc in ED RSI.

Free Emergency Medicine Talks

  • Most, if not all, emergency physicians would agree that a talk by Amal Mattu should not be missed. Users of ‘Free Emergency Medicine Talks’ seem to agree — Amal Mattu: 2010 Cardiology Literature Updates is one of the most downloaded talks of the past week.

The Rest of the Best


  • A 12 year old girl presenting with lower abdominal pain requires the consideration of a wide range of differential diagnoses. This case highlights another great use of ED ultrasound to hone in on the diagnosis.

12 yo F with abdominal pain from on Vimeo.

Emergency In The Shed

  • Delivering babies in the emergency department is something we don’t see all to often…. thankfully! Do you know what to do? David teams up with Liz Chappell, a neonatal nurse educator, in this two part podcast (episode 1 & episode 2) covering all the essentials of delivering the newborn in the emergency department.

Critical Insight

  • Are our attempts to find effective remedies, being hampered by the tendency to treat all organ failures equally? This is just one of the question asked in an excellent post, looking at The Pinocchio Effect.


  • The first post of this new blog from Iain Beardsell is titled Top 10 tips for new ED SHOs, and it comes with with an accompanying audio version for people (like Scott Weingart) who’s cortical homunculus is all ears and mouth ;-).


Webnotes in Emergency Medicine

  • All airways are difficult airways in emergency medicine, however some are more difficult than others. Dr Teo Aik Howe gives you his approach to the difficult airway with a splash of LEMON, on the side to help you out.

Emergency Medicine Forum

  • This case looks at an infant with a cough that has an episode of apnea. Is it an apparent life-threatening event (ALTE)? Find out here.

Educational Pearls

By: Amal Mattu

  • Up to 30-40% of patients with infective endocarditis have neurological symptoms as a result of embolization. This is a good reminder of the frequency of embolization, and also that infective endocarditis should always be part of the differential when you are evaluating a patient with fever + neurological abnormalities.


  • ZDoggMD teams up with with his general surgeon buddy Doc Quixote to give us this fly-on-your-face documentary footage of the making of their next stool-topping hit single.

Twitter Meducation News

  • There’s nothing like having a colourful character like @bungeechump on Twitter to illustrate the farcical nature of what we do day-in and day-out:


Bungeechump 1

News from the Fast Lane

  • The past week at LITFL we’ve eradicated an annoying Trojan that may have got into our site through some rogue code in a comment to a blogpost. Mike has lost his last remaining hair in the process. But it looks like the site is completely clean again – apologies to anyone who was inconvenienced. If anyone experiences any further problems please let us know, so we can fix it ASAP!
  • We apologise for neglecting some of the toxicological aspects in a few of our recent posts, Dangerous Love and Troubling Tachycardia, but thanks for the great comments!
  • That bastion of science, the New York Times, seems to support our case-based Q&A approach in their article ‘To really learn, quit studying and take a test’. (Actually the research was recently published in Science).

A Word from our Sponsors

Life with-out love

The Final Words

“The greatest lesson in life is to know that even fools are right sometimes.”

Winston C. Churchill

That’s it for now… Hopefully this roundup of the world of electronic emergency medicine and critical care education for everyone helps to you 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 our roving reporter: kane AT

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