The LITFL Review 082

LITFL Review
Welcome to the groomed 82nd 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 casts 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 to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.

The Most Fair Dinkum Ripper Beaut of the Week

 Keeping Up With Emergency Medicine

  • The ‘Ripper of the Week’ top spot  goes to Keeping Up With Emergency Medicine thanks to a great collection of short, sharp reviews this month. In this  21 Minute Version Must-Read Articles Sept 2012 Clay covers everything from STEMI in LBBB,  vasopressin vs norepinephrine, ECMO in the ED, and much, much more…..This is great for those of us that don’t have the attention span to read a whole article, Clay sums them up in a high yield 1-2mins each, WIN WIN! Clay, you rock!

The LITFL Review Top Picks


  • A Confirmation of Prejudices: Chloride and Pressure Poisoning – Scott puts some evidence behind his prejudice and will make you think twice before charting another bag of saline for your next sick dying patient. He also emphasises why we need to use lung protective ventilation strategies for all our tubed patients, not just those with ARDS. Put another way, if you’re tubed, you are an ARDS patient in the making.

The Poison Review

Emergency Medicine Tutorials

Pediatric EM Morsels

Ultrasound Podcast


  • The Silver Book — Helping us dealing with the geriatric tsunami, one page at a time!

 Intensive Care Network

  • Cartner on Dialysis — Michaela Cartner, an ED physician and intensivist, gives a down-to-earth fast-paced low down on renal replacement therapy in ICU: IHD vs SLEDD vs CVVHF.
  • Lane on Airways — Stuart Lane, an intensivist from Nepean hospital, pulls no punches in a 10 minute discussion on the management of difficult airways in ICU, mainly focusing on video layngoscopy. As always, Stuart serves up a lot of food for thought!


  • Diagnostic panacea? USS that paeds abscess?? — Bottom line: Ultrasound is good.  And this is a great idea – by using ultrasound we can actually see whether there’s an abscess needing incision and drainage, rather than relying on external look & feel alone.  Why would we not use ultrasound?
  • Oh, Sugar! Paediatric Hypoglycaemia – Do all paediatric hypo’s need investigation? Natalie provides an excellent in depth review to help guide our practice downstairs.
  • Smoke without fire — Great review on managing CO poisoning! Definitely worth a read!

Free Emergency Medicine Talks

EM Literature of Note

Emergency Medicine Education

  • Awesome review by Kent on the basic approach to Mechanical Ventilation  — Brilliant FOAM!
  • Teaching Reflection — Reflection is a skill which has been demonstrated to improve learning. Despite it’s importance, little weight has been given to it in traditional medical education.
  •  Have you ever had to promise the radiologist that you would arrange emergent dialysis for your end-stage renal disease (ESRD) patient after receiving IV contrast? Time for a mythbuster: Urgent dialysis following IV contrast?
  • Aussie ED Doc @myacubitt (and a FFF friend of LITFL) provides Amal with a great ECG for him to decipher this week:


The Short Coat

Broome Docs



 A Life at Risk

The LITFL Review Shout Out of the Week

KI Docs

This weeks shout-out heads over to rural/remote medical blog KI Docs, by Tim Leeuwenburg F.UCEM, a whimsical GP proceduralists in remote Australia.

 Twee Dee and Twitical Care

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News from the Fastlane

The Final Words

  • “The mark of the true professional is their ability constantly question their competence.”
— Minh Le Cong
  • “The effort invested in ‘getting it right’ should be commensurate with the importance of the decision.”

— Daniel Kahneman  

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 kane AT

LITFL Review EM/CC Educational Social Media Round Up

Emergency Medicine and Critical Care Blogroll

Emergency Medicine and Critical Care Podcasts — Academic Life in Emergency Medicine — Adventure Medicine—  A Life at Risk — All LA Conference — Al Sacchetti’s Youtube — Bedside Ultrasound  Better in Emergency Medicine — Broome Docs — — CLIC-EM — Critical Care Perspectives in EM — Dave on Airways —DrGDH — Dr Smith’s ECG Blog — ECG Academy — ECG Guru — ECG of the WeekED Exam — EDTCC — EKG Videos — EM Basic — EM Core Content — EMCrit — Emergency Medical Abstracts —EMERJENCYWEBB –EmergencyLondon — Emergency Medicine Cases — Emergency Medicine Education — Emergency Medicine News  Emergency Medicine Ireland — Emergency Medicine TutorialsEmergency Medicine Updates —Emergucate EM Literature of Note —  — EMpills  — Emergency Physicians Monthly — EM Lyceum — EMProcedures — EMRAP —  EMRAP: Educators’ Edition — EMRAP.TV — EM REMS — ER CAST — Free Emergency Medicine Talks — GMEP — Gmergency! —  Greater Sydney Area HEMS —  — ICU Rounds — Impactednurse — Intensive Care Network —iTeachEM – keepcaring — Keeping Up With Emergency Medicine — KeeWeeDoc — KI Docs — LipheLongLurnERdok  — MDaware — MD+ CALC  — MedEDMasters  — Medical Education Videos — Medicina d’urgenza — Medicine for the Outdoors — Micrognome — Movin’ Meat — Neurointensive Care — Pediatric EM Morsels — PEM ED — PEMLit — PHARM — Practical Evidence — Priceless Electrical Activity — Procedurettes — — Radiology Signs — Radiopaedia — — Resus.ME — RESUS Room — Richard Winters’ Physician Leadership —ruralflyingdoc — SCANCRIT — SCCM Blogs —  SCCM Podcast — SEMEP — SinaiEM — SinaiEM Ultrasound —  SMART EM    SonoSpot — StEmylns — Takeokun — thebluntdissectionThe Central Line — The Ember Project —The Emergency Medicine Resident Blog —  The NNT  — The Poison Review — The Sharp End — The Short Coat The Skeptics Guide to Emergency Medicine  The Sono Cave – The Trauma Professional’s Blog —  — ToxTalk — TJdogma  Twin Cities Toxicology — Ultrarounds —  UMEM Educational Pearls  — Ultrasound Village

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