The LITFL Review 012

Welcome to the tumultuous 12th 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 Most Fair Dinkum Ripper Beaut of the Week!


  • Bonus – Is Kayexalate Useless? — Here’s an idea, why don’t we poor liquid concrete up that  critically ill renal patient’s backside? If its in the the NEJM it must be true… right? Resonium for hyperkalemia gets debunked.

The Usual Suspects

The Poison Review


  • Cliff auto-reviews his case in the EMJ demonstrating the effectiveness of Intranasal ketamine analgesia in a child with scalds.
  • Suspension syncope — what’s that, you ask? Well read this and find out.
  • ECLS on Japanese, in Japanese — early indications are that extracorporeal cardiopulmonary resuscitation is lookin’ good.
  • CVT guideline — cerebral venous thrombosis is one of those bad boy diagnoses that gives most critical care physicians the willies. Cliff, with a hat tip to LITFL team member Oli Flower’s, gives the run down on the latest AHA/ASA diagnostic and management guidelines.

Dr Smith’s ECG Blog

Academic Life in Emergency Medicine

Free Emergency Medicine Talks

Emergency Physicians Monthly

The Rest of the Best

  • Minor Head Injury covers it all, from the definition of concussion to the correct use of the ‘vomitometer’.

Movin’ Meat

  • We learned about some cool stuff from Movin’ Meat this week. In I want to be a cyborg we discovered that a whole lotta people may soon be saying goodbye to their wheelchairs:


  • Also we got the Movin’ Meat take on bongi’s soul searching post, The Graveyard — a reminder that, perhaps, ‘you’re not a real doctor until you’ve killed someone’…

UMEM Educational Pearls

Amal Mattu pearl of the week is on rib fractures in the elderly:

  • Rib fractures are associated with significant morbidity and mortality in the elderly, and the risk increases dramatically with each successive rib fractured.
  • An elderly patient with 3 rib fractures has a mortality of 20% and risk of pneumonia is 31%.
  • As a general rule, you should really think twice about discharging home any elderly patients with rib fractures.

Bulger EM, et al. Rib fractures in the elderly. J Trauma 2000;48:1040-1046.

The Trauma Professional’s Blog

Twee-D and Twitical Care

Bungeechump JPEG

News from the Fastlane

  • Look out for some insanely brilliant posts from one of LITFL’s newest team members, ‘Junior’, in the next couple of days… Tomorrow’s ‘Choose Your Own Resus Adventure!‘ will be followed up by ‘The Ballad of Eric’s Prostate‘ — they’re not to be missed!

The Final Words

“To thrive in Emergency Medicine you must recognise what the specialty is, the provision of medicine to anyone and anytime – emergency has little to do with it most of the time!”

— Greg Henry

“Beware of patients who call you “Doc.” They rarely pay their bills.”

—William Osler, 1849-1919.

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 our roving reporter:
kane AT


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