The LITFL Review 090

Welcome to the global 90th 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

Top spot this week is given to The Trauma Professional’s Blog, each week  Michael provides us with fascinating reviews and insights into managing the trauma patient, and this week is no disappointment. Check out these two post:

  • Trauma Mythbusters: Spinal Cord Injury From Airway Management - Bottom line: From a mechanical standpoint, even in unstable spine models, the maneuvers we use in preparation for intubation cause more movement of the spine than does the intubation procedure itself. The true number of spinal cord injuries actually (and provably) caused by intubation approaches zero.
  • Don’t Ignore The Naughty Bits - Bottom line: The naughty bits are important because the occasional missed injury in this area can be catastrophic! Do your job and force yourself to overcome any reluctance to examine them.

The LITFL Review Top Picks

Academic Life in Emergency Medicine

Free Emergency Medicine Talks




Broome Docs


Emergency Medicine Updates

Intensive Care Network

  • Holley on BURNS - Listen to Anthony Holley’s fantastic presentation on burns that he gave at the Bedside Critical Care Conference 2012. A must listen to if your interested or see burn patients in the ICU.
  • Nguyen on Scary Obstetric Emergencies - There not so scary after listen to this brilliant podcast.


EM Literature of Note



  • eh-vee-arrr - the importance of recognise AVR when in the context of coronary ischaemia.
  • a diligent driver… in a nurse will altered visual acuity and a positive Marcus-Gun reflex- what is the diagnosis and what treatment does the ophthalmologist want you to start?

Adventure Medicine

  • Does Ibuprofen protect against Acute Mountain Sickness? -  The answers are not yet fully clear but there is certainly promising signs to support the anti-inflammatory role of Ibuprofen in protecting against AMS by dampening down the inflammatory response to altitude induced hypoxia 

  • ECG sagas of subtlety 2 - Wow an challenge dynamic ECG case for you to learn from, by  Australia’s own ECG geek!

EKG Videos


The Poison Review

Emergency Medicine Ireland

The Skeptics Guide to Emergency Medicine

  • Eye of the Tiger a look at traumatic hypemas. Take home point: The ED management of traumatic hypemas would be to prescribe nothing and call ophthalmology.




The Short Coat

Greater Sydney Area HEMS

The LITFL Review Shout Out of the Week

  • TheNNT - has had a make over, check it out and find just how easy and user friendly it is now.

The GMEP Plug of the week

This week GMEP plug is a post on recognising and managing Brain Metastasis With Vasogenic Edema by Elisha Targonsky

 …and welcome to the UltrasoundPodcast for joining the #GMEP revolution (high quality vodcast)

Twee Dee and Twitical Care

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News from the Fastlane

  • Mike gives us an update on GMEP and how to use the GMEP Media Library - time to check it out!
  • Finally we get to here What Weingart Would Do is this challenging trauma case.

The Final Words

The real leader has no need to lead  - he is content to point the way.

-Henry Ford

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 boringemBroome 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 —ED-Nurse— EDTCC — EKG Videos — EM Basic — EM Core Content — EMCrit EMDutch — 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 — EXPENSIVECARE — Free Emergency Medicine Talks — GMEP — Gmergency!Got Resuscitation—  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 PEMTweets Blog — 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   SOCMOB — 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 Podcast — Ultrasound Village

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