The LITFL Review 084

LITFL Review

Welcome to the stimulated 84th 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

Academic Life in Emergency Medicine

Top spot this week is taken out by Academic Life in Emergency Medicine headed up by Michelle Lin and her team of EM blogging guru’s, each week they provide us with high quality and hard hitting posts on a wide arrange of topics to help guide our daily practice, and this week is no exception.

The LITFL Review Top Picks

Free Emergency Medicine Talks


  • Well last week was a big week for iTeachEM, with the inaugural International Emergency Medicine Teaching Course in Baltimore, Maryland. See the wrap up from the conference on storify and you can even watch some of the talks recorded here on livestream.
See the reviews here:


  • Getting Chilly Quickly - A change in evidence maybe! Should we be delaying the induction of therapeutic hypothermia to our cardiac arrest victims? Simon certainly does give us food for thought!

Intensive Care Network

  • Harris on Interview Technique Part 2 - how to be prepared and answer those tricky interview questions.
  • How good are you at saying sorry and providing open disclosure to your patients, and their families? Most of us aren’t that great,however spend 20mins listening to Stuart Lane on Saying Sorry, could be some of the most rewarding and informative 20minutes any podcast can give you!
  • Gatward on ALS Update 2102- Absolutely brilliant talk on we’re we are at when it come to ALS in 2012:

 Emergency Medicine Education

  • Simulation as an assessment tool. - Bedside teaching is a fantastic form of education for both doctors and nurses, however its not always easy to find the right patients….Well it is easy with aid of simulation and manikins.


  • Prehospital ketamine analgesia- Conclusion: Intravenous morphine plus ketamine for out-of-hospital adult trauma patients provides analgesia superior to that of intravenous morphine alone but was associated with an increase in the rate of minor adverse effects.

EM Literature of Note

  • The Hazards of Love - “Sexual activity is mechanically dangerous, potentially infectious and stressful for the cardiovascular system.” We will be keeping this study a secret!
  • Don’t ß-Blockade Cocaine Chest Pain - this study is a perfect example of inappropriately extending a conclusion from retrospective data. Bottom line: Best to avoid beta-blockers in cocaine associated chest pain.




  • The problem with PRN opioids. Who’s using a sedation scales to guide the delivery of opioid to their patients in the emergency department.


  • Do you rely on Google to dig up information to help you with your professional development or find information around a particular clinical topic on the fly? There’s now an alternative: take the trip: an evidence based search engine.
  • Pediatric Cholelithiasis -  it is becoming increasingly apparent that we must consider adult diseases in the kids in our EDs.
Walid Hammad brings us this weeks pearl on: What injuries do you see after an explosion?
  •  Explosions can cause a complex series of injuries, which may include subtle or delayed findings.  Repeated evaluations, such as serial abdominal exams, may be required.
  • Blast injuries are divided into 4 categories:
    • Primary blast injuries: Injury from blast wave over-pressure. Found in gas filled structures (ear, lung, hollow organs)
    • Secondary blast injuries: Injury from thrown objects (primarily penetrating trauma, but may blunt)
    • Tertiary blast injuries: Injuries from patient being thrown by blast wave (blunt trauma)
    • Miscellaneous (quaternary) blast injuries: Injuries from other causes, such as burns, crush injuries, rhabdomyolysis, and toxic chemicals.
  • The most common primary blast injury is tympanic membrane rupture.


  • Brilliant case CODE BROWN: PERICARDIOCENTHESIS- demonstrating the role of ultrasound in detecting pericardial tamponade, and highlights that CPR is going to be useless in this patient unless  the tamponade is drained. Great picture also!

The LITFL Review Shout Out of the Week

The Skeptics Guide to Emergency Medicine

This weeks shout-out goes to the new EM blog/podcast The Skeptics Guide to Emergency Medicine. The Skeptics Guide to Emergency Medicine (SGEM) is a knowledge translation (KT) project. Its goal is to shorten the KT window from about ten years down to one year. To do this it will turn traditional medical education on its head.

Have a listen and check out the latest podcast:

Twee Dee and Twitical Care 

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News from the Fastlane

The Final Words

  • “The pursuit of normality is the ultimate sacrifice of potential.”

- Faith Jegede

  • Believe those who are seeking the truth.  Doubt those who find it.

 -Andre Gide

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 CaveThe Trauma Professional’s Blog —  — ToxTalk — TJdogma  Twin Cities Toxicology — Ultrarounds —  UMEM Educational Pearls  — Ultrasound Village

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