Welcome to the spectacular 61st 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
- Amal Mattu shares with us a case, and then provides us with what no textbooks will teach you on the pearls and pitfalls of managing Bradycardias! – Remember ACLS guidelines are shit when it comes to toxicology and toxicological cardiac changes on the ECG! If you haven’t yet checked-out Academic Emergency Medicine Education Masters, then you are missing out on some educational gold that this site provides.
The LITFL Review Top 20 of the Week
- Benign T-wave Inversion: view video or read text – shares with us a neat review on Benign T-wave inversion!
- The Future of CPR with Keith Lurie and Demetris Yannopoulos. Scott chats with two amazing resuscitation researchers to talk on new and future topics in resuscitation – from flow-enhanced CPR,to providing re-perfusion injury protection, and new drugs that could be of benefit. This podcast did cause some controversies forcing Scott to put out this EMCrit Wee On Editing Comments and Ad Hominem Attacks – don’t forget as Aristotle said “It is the mark of an educated mind to be able to entertain a thought without accepting it.” Unfortunately the educated mind and UCEM members don’t always go together and a anonymous video response was submitted to LITFL regarding the Ad Hominem Attacks On EMCrit.
- Evie Marcolini takes out Joe’s pick of the week and shares with us her thoughts and some research on Does pressor choice(or use) in sepsis change outcomes? Remember there is no ultimate pressor/inotrope for septic patients – and there probably never will be!
- Spinal imaging for the adult obtunded blunt trauma patient – still no definitive answer but the “waters are clearing”!
- Paucis Verbis Kawasaki Disease – no its not a motorbike but an easy diagnosis to make in paediatric patients if you can spot the 5 classic findings!
- Don’t Miss These ECG’s – in this 2-part video whiteboard session Andy runs through 6 of the most serious and subtle ECG’s that you can’t afford to miss. Check out the videos below:
- The Size of the Bite; Managing Stress in Emergencies– excellent post highlight some key points on using stress to our advantage in the chaotic environment that is the emergency department. Remember: Keep Calm and Carry On!
- Can you pick the cause of this injury? Was it a burn? Was it a plant? Or was it caused by a lightening strick – Interesting case Ian, thanks for sharing!
- TPA is Dead, Long Live TPA – Unfortunately, in a replay of prior literature, the authors are all affiliated with drug companies. We are all still desperate and hungry for non-drug company biased research for our stroke patients and to help guide our practice.
- Dealing with Haemodialysis Patients in the ED. David teams up with renal nurse educator Brenton Shanahan to provide us with the ultimate guide for assessing and managing common presentation from haemodyalysis patient’s when they present to the ED!
- Multiorgan failure after injection of “bath salts” (MDPV) -Highlights the burden this drug can have on the health system, and on patient morbidity!
- Trick of the trade: Pelvic speculum for peritonsillar abscess – Personally I would prefer the laryngoscope, but if its all you got then use it!
- What’s a high Lactate? The key point is here that healthy patient will clear their lactate with-out intervention!
- Clinical presentation after smoking products labeled as “Spice” or “K2″ – Leon reports on a recently published case series of patients believe to be intoxicated with synthetic canabinoids – reminds us to be aware of serotonin and dystonic reactions in these patients.
- More Nails In the Coffin For Epinephrine – the nails are in, but the grave has yet to be dugg!
- Interesting new paper: interventionalists have a hard time differentiating non-ischemic ST elevation from STEMI – good paper to have in your back pocket for the next time you get chastised for falsely activating the cath lab!
- An new initiative from the emergency nursing guru called the The Thunderbox Papers. Each week Ian will provide a short 1 page summary on a pertinent topic for you to put up in the toilet to read while you go about your business. Seems kind of comical his first Thunderbox paper is on C-diff.
- Blunt Abdominal Trauma Part 1 – The Grading of Splenic Injuries. As Amit points out: As with any grading system or predictive tool, it is of limited value without clinical correlation – sounds like a radiologist doesn’t he ;).
- Anatomy For Emergency Medicine #10 The Internal Capsule – This is key knowledge I think – if you want to understand the stroke syndromes and the different presentations then you need to understand the internal capsule and its importance.
The LITFL Review Shout Out of the Week
- This week we highlight a blog that has been around a while but not made it into the LITFL R/V until now. This weeks post Me Inc. is very thought-provoking in it that it looks at the way we brand and promote ourselves, whether its at work or through our blogs or social media and the impact this can have on us- worth having a read of.
Twee-D and Twitical Care
News from the Fastlane
- We have gone trauma mad! Yes that right Chris has put together a fantastic series of trauma post for your education goodness that have been rolled out over the past week, with a few more to come this week- Great work Chris.
- Sean Rothwell features again with a post on the The Hazards Of Internet Shopping.
- And Tor has finally settled down with his New Girlfriend.
The Final Words
- “A smooth sea never made a skillful mariner.”
- “Poison is in everything, and no thing is without poison”
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 lifeinthefastlane.com