The LITFL Review 092

Welcome to the mind-blowing  92nd 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

The Short Coat

  • Top Spot this week is a ripper By Lauren looking at hypertension in the ED. Check our Mercury Rising – Severely Elevated Blood Pressure in the ED – sensational nuts and bolts review on what you need to know on managing hypertension in the ED- with great links embedded throughout the post that will have you being  guru on managing or not managing the hypertensive patient in the ED!

The LITFL Review Top Picks

EM Literature of Note

  • Come One, Come All – Low tidal volumes improve outcomes. Clinical Takeaway: Until a more definitive, large randomised trial is performed, this study provides an evidence-based rationale for instituting a low-tidal volume ventilation strategy in patients without ARDS who do not have a clear contraindication to low tidal volumes.

PEMTweets Blog



  • How much morphine should I do? – In obese patients, even those who are seriously obese, do not require a dose adjustment in the administration of morphine practiced for the onset of an acute pain.


Academic Life in Emergency Medicine

Intensive Care Network



  • The Arrow of Time, as Trevor ages :) he reflects back on time and see how things have changed. What will you be looking back on in 2025, and thinking I can’t believe we did that?

The Poison Review


  • A Journal of FOAM?? Is there a need? What will it add? I think the LITFL is a good starting point!

Dr Smith’s ECG Blog

EKG Videos

What challenging ECG had Amal got for us this week:


The Skeptics Guide to Emergency Medicine

  • Hit Me with your BEST Shot. Nice review on how to educate your staff and patients on the flu and the benefits of having the flu shot.
  • Bust-a-Move – Cast Vs Splint for the buckle fracture- which do you do? Find out what the literature says here!



  • Advanced airways and worse outcomes in cardiac arrest. Study found that CPR with advanced airway management (use of tracheal tubes and even supraglottic airways) was a significant predictor of poor neurological outcome compared with conventional bag-valve-mask ventila


  • Necrotizing Fasciitis on CT scan, remember crepitus is bad on physical exam, use ultrasound and get early broad spectrum AB’s in early, and get the surgeons involved.



  • IS PROPOFOL REALLY THAT BAD? Davids doing a survey to find out what you are using to sedate your post intubate patients…So help him out!
  • CRISIS. CHECK. – Great post David agree we need more checklist in medicine!

The LITFL Review Shout Out of the Week

This weeks shout-out go’s to all the amazingly awesome PK SMACC Talks. So far over 22 have been uploaded and theres not one that I haven’t liked or learn’t something from.

Check out this ripper on PEM for Dummies by Colin Parker:

The GMEP Plug of the week

Gerry Considine take out this weeks plug with a look at croup:

Twee Dee and Twitical Care

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News from the Fastlane

The Final Words

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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 emindoc — 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 — Resus Room Management — 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

LITFL Review

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