Welcome to the 107th edition, brought to you by Kane Guthrie and Tessa Davis.
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
- Dr Newman is back at top spot with another stellar podcast, where he intelligently rants about Thrombolytics for Stroke: Update. He takes a massive deep dive look at the latest evidence/guidelines around stroke thrombolytics, to find out where we are at, or, more correctly, were we should be at with this controversial therapy.
The Best of #FOAMed Emergency Medicine
- Leon over at The Poison Review, takes a thorough look at Severe organophosphate poisoning: how quickly should atropine be administered? Current best practice is doubling the previous dose of atropine at fixed intervals, resulting in much more rapid atropinization.
- Do you routinely order cardiac markers for patients with SVT? Well over at Academic Life in Emergency they tackle this issue, and it seems if the patient is low risk from an ACS standpoint and chest pain resolves once resolution of SVT cardiac markers are not necessary.
- Does penicillin still have a role in 2013? If you think it doesn’t, then think again and head over to Free Emergency Medicine Talks and listen to this great talk by Ellen Slaven But Penicillin is Obsolete, Right?
- Time for some myth busting and who better than Minh over at PHARM with Ketamine MythBusters Part 4 – A fitting end? A look at ketamine, seizures and epilepsy — the truth is told!
The Best of #FOAMcc Critical Care
- The NEJM is embracing the world of FOAMed with a Critical Care Challenge Case – to put you through your paces. That’s right they want to know how you would manage this septic patient in your ICU? Impressive concept from the NEJM – looking forward to seeing the editorial that follows this case.
- Were going to hear a lot about this study methinks – Vasopressin, steroids, epinephrine cocktail improved cardiac arrest outcomes (JAMA). The lads over at PulmCCM.org summarise it well: “adding vasopressin and corticosteroids to epinephrine during resuscitation from cardiac arrest, and continuing steroids if shock is present, may markedly improve outcomes — from abysmal to just very poor!” Weingart is so excited by this study he did this: EMCrit Wee – Vasopressin, Steroids, and Epinephrine for Cardiac Arrest.
- Lowering the BP rapidly in ICH – the ultimate double edge sword – we don’t want to increase the bleeding, but we also don’t want to decrease the cerebral perfusion pressure! Cliff over at Resus.ME reviews this study but unfortunately it doesn’t give us the answer we so desperately need.
- Want to find out the latest research in tracheostomy management in ICU? Well then have a listen to Young on the TracMan Trial on Intensive Care Network.
The Best of #FOAMPed Paediatrics
- Brad Sobolewski (@pemtweets) makes it to the best list again this week. #FOAMPed went febrile convulsion crazy this week but Brad’s 6-part overview of managing febrile seizures and advice for parents covers all the bases. It’s so common, there’s no excuse not to know this inside out.
- Simon Carley (@emmanchester) has a lovely summary in St Emlyn’s of a recent Cochrane review on using hypertonic saline for bronchiolitis. Conclusion = use it, or don’t. Either is fine (but Carley does).
- As UK docs changed over to new terms, Damian Roland (@damian_roland) started a #paedstips hashtag where people posted…well…paeds tips. You can see the storify of it here.
News from the Fastlane
- Need some inspiration? Check out LITFL’s very own Michelle Johnston who gave a SMACC talk on The Physiology Of Inspiration – truly awe-inspiring and magical!
- The master of FOAMed has a talk posted from SMACC as well. Check out Mike’s rant on Forget Social Media… Get #FOAMed!
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 —boringem—Broome Docs— CCM-L.org — — Critical Care Perspectives in EM — Dave on Airways —DrGDH — Dr Smith’s ECG Blog — ECG Academy — ECG Guru — ECG of the Week—ED Exam —ED-Nurse— EDTCC — EKG Videos— EM Basic — EM Core Content — EMCrit— EM CapeTown — EMDutch — Emergency Medical Abstract —EM Journey—EMERJENCYWEBB –EmergencyLondon — Emergency Medicine Cases — Emergency Medicine Education —Emergency Medicine News— Emergency Medicine Ireland — Emergency Medicine Tutorials—Emergency Medicine Updates —EM on the Edge —Emergucate —EM Journey — emimdoc — EM Literature of Note — empem.org — EMpills — Emergency Physicians Monthly — EM Lyceum — EMProcedures — EMRAP — EMRAP: Educators’ Edition — EMRAP.TV — EM REMS — ER CAST — EXPENSIVECARE — Free Emergency Medicine Talks — Gmergency!—Got Resuscitation— Greater Sydney Area HEMS — HQmeded.com — ICU Rounds — Impactednurse —Injectable Orange — Intensive Care Network — iTeachEM — IVLine — 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 — PulmCCM.org — Radiology Signs — Radiopaedia — Resus.com.au — Resus.ME — Resus Review — — Resus Room Management — Richard Winters’ Physician Leadership —ruralflyingdoc — SCANCRIT — SCCM Blogs — SCCM Podcast — SEMEP — SinaiEM — SinaiEM Ultrasound — SMART EM — SOCMOB — SonoSpot — StEmylns — Takeokun — thebluntdissection—The Central Line — The Ember Project —The Emergency Medicine Resident Blog — The Flipped EM Classroom — 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 Podcast — Ultrasound Village