The LITFL Review 048

Welcome back to the sensational 48th LITFL Review!

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

ICU Rounds

  • Top spot this week is taken out by Dr Jeffery Guy with another stellar podcast tackling Necrotizing Soft Tissue Infection (NTSI). This episode discusses the pathophysiology, presentation, and treatment of NSTI. Remember to treat these patient like you treat your severe burns patients!!!

The pic of the week  is thanks to @bungeechump


The Usual Suspects

Free Emergency Medicine Talks

  • Free Emergency Medicine Talks is have a little trouble with hosting issues right now (we know the feeling!) — however the LITFL team have inside info that the team is working around the clock to have us back listening again to their educational goodness very soon.

Emergency Medicine News

The Poison Review


  • Cliff highlights a nice systematic review looking at Sedation for traumatic brain injury. Take home point: there is no evidence that one sedative agent is better than another for improvement of neurologic outcome or mortality in critically ill adults with severe TBI.
  • Make space for pre-hospital intubation — remember: “Control your environment – don’t let it control you

Academic Life of Emergency Medicine

  • Trick of the Trade: Bandaging the scalp laceration — Geez soon hairdressing with be another subspecialty available to EM docs.
  • Paucis Verbis: a nifty little feedback card — will help give you talking points when give feedback during and at the end of each shift.

Emergency Physicians Monthly

  • Why the Flank Pain? — A nice review demonstrating some pearls and pitfalls of ultra-sounding the kidneys.

Dr Smith’s ECG Blog

  • Subtle Inferoposterolateral STEMI — learning points from this case: “Scrutinize the ECG for T-wave size and morphology, especially in reciprocal leads III and aVL.”


  • Another inspiring post from Ian: Enjoy Every Sandwich about death ,a doctor and sandwiches — what do you do to find balance in your medical life?

The Rest Of The Best

The ED Exit’s Video Channel:

The bounce-back of a case of severe cellulitis:


ED Trauma and Critical Care

Emergency Medicine Ireland


  • The Micrognome has been out of action recently related to some Kinetic effects — great post on the infective complication’s of trauma. Glad to here you doing ok now Tim!!

Emergency Medicine Literature of Note

UMEM Educational Pearls

Haney Mallemat shares this weeks pearl on an alternative to CPAP. Or as i like to call it “CPAP Lite”.

  • Up until recently, a tight-fitting mask was one of the only ways to deliver non-invasive positive-pressure ventilation.
  • High-flow nasal cannulas (HFNC) have been adapted from use in neonates to adults to deliver continuous positive airway pressure (CPAP).
  • HFNC provides continuous, high-flow (up to 60 liters), and humidified-oxygen via nasal cannula providing positive pressure to the pharynx and hypopharynx. Patients tolerate it well and it is less claustrophobic than tight-fitting masks.
  • HFNC does not generate the same amount of pressure as CPAP so it may be best utilised as an intermediate step between low-flow oxygen (i.e., traditional nasal cannula) and non-invasive positive pressure ventilation with tight-fitting masks.
  • Check with your respiratory department if these devices are locally available.

Pediatric EM Morsels

  • Neonatal HSV — Take home point: This is a rare condition, but one that is potentially devastating… It is imperative that we keep it on our radar! 

The Trauma Professional’s Blog

 The NNT

Stockings DVT

EM dose


  •  Todd catches up with Dr Myles Conroy discusses the latest in acute pain management for the intensive care unit. Check out Part 1 and Part 2, on managing acute pain in the ICU.
  • The ZDogg and Dr Harry try to answer one of the toughest questions in medicine. Who is HARDER? Paediatrics Vs. Hospitalist — you be the judge!

Twee-D and Twitcal Care

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News from the Fastlane

The Final Words

  • “Being defeated is often a temporary condition. Giving up is what makes it permanent”.

— Marilyn vos Savant

  • “One thousand Americans stop smoking every day — by dying.”

— Author Unknown

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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