LITFL Review 270
Welcome to the 270th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Ashley Liebig delivers a powerful, poignant and thought provoking talk on the golden fleece, the golden hour and the golden rule. [AS]
The Best of #FOAMed Emergency Medicine
Moises Gallegos introduces a new mnemonic for the management options o...
Source: Life in the Fast Lane - February 19, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Research and Reviews in the Fastlane 172
Welcome to the 172nd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the full ...
Source: Life in the Fast Lane - February 9, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Emergency Medicine Intensive Care R&R in the FASTLANE EBM Education recommendations research and reviews Source Type: blogs
LITFL Review 267
Welcome to the 267th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
The Society of Critical Care Medicine live streamed their conference session on the Surviving Sepsis guidelines 2017: watch it here. [SO]
The Best of #FOAMed Emergency Medicine
Check out this week’s Core EM Podcast for a discussion on ...
Source: Life in the Fast Lane - January 30, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
For You EMS Types …
Jason Kodat, Gene Gandy and I have a new article in EMS World Magazine. Taking the Fear Out of Surgical Cricothyrotomy Give it a read, let us know what you think, and share with your friends. (Source: A Day In the Life of An Ambulance Driver)
Source: A Day In the Life of An Ambulance Driver - January 2, 2017 Category: Emergency Medicine Authors: ambulancedriverfiles Tags: airway management EMS World Magazine Source Type: blogs
Research and Reviews in the Fastlane 153
Welcome to the 153rd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check o...
Source: Life in the Fast Lane - September 29, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Airway Clinical Research Education Emergency Medicine R&R in the FASTLANE Renal Resuscitation critical care Intensive Care research and reviews Trauma Source Type: blogs
Research and Reviews in the Fastlane 152
Welcome to the 152nd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check o...
Source: Life in the Fast Lane - September 21, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Airway Anaesthetics Education Emergency Medicine Intensive Care Pediatrics R&R in the FASTLANE Resuscitation Trauma critical care literature recommendations research and reviews Source Type: blogs
Research and Reviews in the Fastlane 140
In this study of 187 traumatic arrest patients, the survival rate was 3.2%. The authors found that if the patient had no cardiac motion AND no pericardial effusion, the mortality was 100%. This potentially identifies a group in which providers should not be subjected to the risks of thoracotomy.
Recommended by Anand Swaminathan
The Best of the Rest
Emergency medicine
Cheng YJ et al. The Role of Macrolide Antibiotics in Increasing Cardiovascular Risk. J Am Coll Cardiol. 2015. PMID 26564594
The harm is small – 1 in ~25,000 prescriptions – but this is another call to avoid unnecessary use of macrolide antibiotics w...
Source: Life in the Fast Lane - June 30, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research Education Emergency Medicine Intensive Care LITFL Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Review Trauma critical care Source Type: blogs
Research and Reviews in the Fastlane 138
This study seeks to prove a saying attributed to Hippocrates: “It augurs well, if the patient’s mind is sound, and he accepts food that’s offered him; but, if the contrary conditions do prevail, the changes of recovery are slim.” In a nutshell, Hippocrates felt that a good appetite and good cognition bode well for mortality. The author’s found that in a group of community living older adults, a graded effect was present. The more severe appetite loss or poor cognition, the more likely the patient would have a poor prognosis.
Recommended by Anand Swaminathan
Trauma
Ogura T, et al. Nonopera...
Source: Life in the Fast Lane - June 8, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research Education Emergency Medicine LITFL R&R in the FASTLANE Review Trauma critical care Intensive Care literature Resuscitation Source Type: blogs
Research and Reviews in the Fastlane 138
This study seeks to prove a saying attributed to Hippocrates: “It augurs well, if the patient’s mind is sound, and he accepts food that’s offered him; but, if the contrary conditions do prevail, the changes of recovery are slim.” In a nutshell, Hippocrates felt that a good appetite and good cognition bode well for mortality. The author’s found that in a group of community living older adults, a graded effect was present. The more severe appetite loss or poor cognition, the more likely the patient would have a poor prognosis.
Recommended by Anand Swaminathan
Trauma
Ogura T, et al. Nonopera...
Source: Life in the Fast Lane - June 8, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research Emergency Medicine LITFL R&R in the FASTLANE Review Trauma critical care Intensive Care literature Resuscitation Source Type: blogs
LITFL Review 230
Welcome to the 230th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
The Australian and New Zealand College of Anaesthetists have uploaded some talks from their recent ASM. Listen to Anil Patel talk on THRIVE (think NODESAT on steroids!), Stuart Marshall talk on Human Factors in airway management, and Helen Kolaw...
Source: Life in the Fast Lane - May 8, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Research and Reviews in the Fastlane 129
This study looks at CMAC DL vs CMAC VL and found that 1st pass success rate was not statistically significantly different. The most important insights in this trial are in the discussion where the authors note a high number of protocol violations:
“This may demonstrate that emergency intubation is a dynamic process, and that plans may change second-to-second based on new information gained immediately before or during tracheal intubation.”
Airway management is a complex process and it’s unlikely that we’ll ever have a study looking at one particular facet that has a profound effect on success rates....
Source: Life in the Fast Lane - April 6, 2016 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Airway Cardiology Education Emergency Medicine Pediatrics Resuscitation EBM literature R&R in the FASTLANE recommendations research and reviews Source Type: blogs
Research and Reviews in the Fastlane 123
Welcome to the 123th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check ou...
Source: Life in the Fast Lane - February 24, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Airway Education Emergency Medicine Intensive Care R&R in the FASTLANE Resuscitation Toxicology and Toxinology Trauma critical care recommendations research and reviews Source Type: blogs
Research and Reviews in the Fastlane 118
This study provides validation of that approach. Although the study was retrospective and only included 45 patients with acute coronary occlusion, it provides valuable information on the utility of ST elevation/S wave ratio for diagnosis of acute MI in this subset of patients.
Recommended by: Anand Swaminathan
Pediatrics
Study of Maternal and Child Kissing (SMACK) Working Group. Maternal kisses are not effective in alleviating minor childhood injuries (boo-boos): a randomized, controlled and blinded study. J Eval Clin Pract 2015. PMID: 26711672
This is kind of interesting in many ways, it appears that the paper was...
Source: Life in the Fast Lane - January 21, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Anaesthetics Cardiology Clinical Research Education Emergency Medicine Haematology Intensive Care Pediatrics R&R in the FASTLANE Respiratory critical care EBM recommendations research and reviews Resuscitation Source Type: blogs
Nightland – a tribute
Had I the heavens’ embroided cloths,
Enwrought with golden and silver light,
The blue and the dim and the dark cloths,
Of night and light and the half-light
William Butler Yeats
I have reached a milestone. I am able to count upon the digits of a single hand the number of times remaining I will climb aboard the night train. For almost ten years I have napped prophylactically and taped tin foil to the windows of rental properties. I have drunk coffee and more coffee, and woken at 6pm and wonder what the hell I felt like eating (the default answer appears to be toast). I have eaten lovely treats baked by nursing colleagues...
Source: Life in the Fast Lane - January 12, 2016 Category: Emergency Medicine Authors: Kristin Boyle Tags: Arcanum Veritas Literary Medicine night-shift Nightland Surviving Nightshift Source Type: blogs
LITFL R&R – Best of 2015
This article is one more piece of the mounting evidence demonstrating a clear call to change what is the usual care in many institutions in the U.S. Stop the madness!
Chest pain is tough — it’s the second most ED common chief complaint, and it scares the heck out of us and our patients – partially because missed MI is one one of the top causes of litigation. But we also see a ton of resources spent on a terribly low yield from chest pain workups. This new study in JAMA-IM including Mike Weinstock (of Bounceback fame), Scott Weingart and David Newman looked at the bad outcomes of patients with normal ECG...
Source: Life in the Fast Lane - January 9, 2016 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Airway Anaesthetics Cardiology Education Emergency Medicine Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Respiratory Resuscitation Trauma critical care examination research and reviews Source Type: blogs
