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
- Own the Resuscitation Room – Cliff Reid - He discusses mastering your team, yourself and the patient. He advocates training in resus for resus, having systems to manage stress like RSI checklists
- Down the K Hole via the A Hole - quick review on alternative routes for sedation and analgesia! Yes there a few options, but rectal ketamine???
- He Can’t Breath on the Ventilator – Cliff Reid - Brilliant talk by Cliff on managing the patient who can’t breath on the ventilator. Great tips and trick on how to manage the ventilator!
- Scoop and Run is for A Holes – Cliff Reid - at essentials debunking some of the myths (and my beliefs) about prehospital stay and play vs load and go.
The LITFL Review Top Picks
- Treating the Decompensated Hypotensive Heart Failure Patient isn’t as easy as just placing them on NIV and adding some GTN! Excellent approach to managing the hypotensive decompensating heart failure patient…Worth a listen for sure!
- Resus a deux - Casey present a disaster resus situation, wants to know what you would do? Time to put your resus and ethics caps on. Great post that highlights the difficult situations our rural and remote docs face!
- Casey takes the plunge into audioland with BroomeDocs Podcast 001: C-spine trauma scans CT? Clearing the neck out bush! Great start into podcasting Casey…Look forward to listening to some more.
- How to guide to approaching umbilical cord infections….Check out Omphalitis.
- Drenzla on the Fluid Debate - although overzealous chloride administration isn’t good, is the alternative any better?
- Lauren’s is up to her usual brilliance in challenging (Don’t) Mind The Gap aka knowledge translation, why does it take so long for us to get p-to-date with the evidence. Maybe FOAM and social media is narrowing this gap!
- Domhnall put’s us through our paces with ECG sagas of subtlety 1. Take home point: Reciprocal ST depression often precedes or is more marked than ST elevation (especially aVL)!
- Is it Really Guillain-Barre? Great case and a 1 in a million diagnosis!
- SMACC 2013 Program and Minh’s Pecha Kucha Competition entry - Of course Minh would be the first of the mark with this.
- Minh interviews Dr Richard Lyon on Prehospital resuscitation and TOPCAT2 a UK experience.
- What To Do With The “Dizzy” Patient. MRI is preferred…But CT is what they generally get. Not the greatest study to help guide your practice.
- Sometimes, the Dead (by Ultrasound) Rise. But still go on to have poor outcomes, although the ultrasound probe is still an excellent tool during cardiac arrest to show cardiac activity!
- Wide Complex Tachycardia. What is the Diagnosis? Use of the Lewis Lead.
- In the spirt of FOAM, St Elmyn’s is launching Twitter Journal Club each Friday you can join in and be part part of the discussion, all you need is a Twitter account. Fantastic concept dudes!
- JC Are we doing too many CTPAs? This weeks journal club topic, download and read the article then have your say!
- Case of the Week: Neck pain at St.Emlyn’s…Brilliant in depth case from Simon. I like this take home point: Remember “Patients with short scene-ED times are still evolving their pathology – be careful!”
- What’s the diagnosis? #11 - Imaging the bamboo spine!
- Anatomy for Emergency Medicine #20 – shoulder: the rotator cuff More FOAM gold from Andy!
- Improving Asthma Control with Medication Review in PED. Take home from this pape: Unfortunately, very little more than the idea that there might be a role for reviewing asthma medications in PED, in conjunction with a primary care physician.
- What’s the most overdiagnosed dysrhythmia? What do ‘clumps’ mean? In 10 minutes you’ll know.
- probe prevents probe… The power of the probe shines again!
- a troublesome tachycardia in an 11 month old, resulting in a child in cardiogenic shock from permanent junctional reciprocating tachycardia!
- GERD Gives Me Chest Pain - In summary, chest-pain relief with either nitroglycerine or GI cocktail does nothing to improve the diagnostic accuracy for ACS and should not be used to influence decision making. Food for thought from Seth!
- SMART SAH: A Picture is Worth a Thousand LPs - Subarachnoid hemorrhage is the bogeyman of headache—but it is real. This month we asked what may be medicine’s most fundamental question: how can we ferret out the bogeyman without creating so much collateral damage that we’ve done more harm than good? We have an answer that is simple, surprising, and scientific. This one is a game-changer.
- Is haloperidol dangerous in PCP-associated agitation? A non-answer to a non-problem!
- Trick of the Trade: Persistent paracentesis leakage ist simple as using a bucket load of Dermabond, and simply dry it out using high flow oxygen. Brilliant trick of the trade….look forward to trying it out.
- I joined Twitter. Now what? (Tutorial video #2 – Desktop)
- Nifty post by Javier on The mystique of direct laryngoscopy: Learning and teaching the procedure- featuring soe absolute pearls from airway guru Richard Levitan. Remember: difficult direct laryngoscopy can only be learned through trial and error, and each operator has to figure out the subtleties of the procedure. A must read!
- The newest, and seriously cool, aspect of SMACC to emerge is the concept of the PK SMACC-talk.
- Don’t forget to submit your team video for the Sim Wars comp! Check out the latest and greatest on ECMO cardiac arrest:
And unfortunately there will be No SMACC SimWars For Hitler:
The LITFL Review Shout Out of the Week
Shout this week is a ripper going to new blog EM REMS. This blog is for the emergency provider that has a interest in emergency radiology, Russel Jones is the spear-head beind EM REMS and provides us with weekly case base updates on trauma and non trauma cases…. Check out these recent pearla’s:
Twee Dee and Twitical Care
News from the Fastlane
- It look like Chris has had a big week in Vegas…For more read News from Essentials!
- We welcome a new author to LITFL, Dr Michael Baker a dual adult/paediatric emergency physician, check out his post Do You Want FPIES With That?
The Final Words
- “There are only two kinds of people who are really fascinating – people who know absolutely everything, and people who know absolutely nothing.”
LITFL Review EM/CC Educational Social Media Round Up
123Sonography.com — 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 — CCM-L.org — CLIC-EM — Critical Care Perspectives in EM — Dave on Airways —DrGDH — Dr Smith’s ECG Blog — ECG Academy — ECG Guru — ECG of the Week—ED 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 Tutorials—Emergency Medicine Updates —Emergucate —EM Literature of Note — empem.org — 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 — HQmeded.com — 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 — PulmCCM.org — Radiology Signs — Radiopaedia — Resus.com.au — Resus.ME — RESUS Room — Richard Winters’ Physician Leadership —ruralflyingdoc — SCANCRIT — SCCM Blogs — SCCM Podcast — SEMEP — SinaiEM — SinaiEM Ultrasound — SMART EM — SonoSpot — StEmylns — Takeokun — thebluntdissection—The 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 — underneathEM.com — ToxTalk — TJdogma — Twin Cities Toxicology — Ultrarounds — UMEM Educational Pearls — Ultrasound Village