LITFL Review 336
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 336th 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. Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription The Most Fair Dinkum Ripper Beauts of the Week Jonny Wilkinson...
Source: Life in the Fast Lane - June 18, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

A Procedure’s Impact on Patient Comfort, Care, and Outcome
This blog teaches procedures, with its case studies and videos intended to help you perfect your technique and strengthen your confidence. This month we explore issues related to procedural patient impact. How will your intervention positively or negatively affect patient outcome? What happens when we decide to step in and complete a procedure?   A risk is always inherent when a provider undertakes a procedure, no matter how insignificant. Carefully, we weigh the pros and cons of the potential procedure with our patients. Will our intervention cause a positive effect or outcome? Our goals are to repair, resolve, or rest...
Source: The Procedural Pause - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

A Procedure’s Impact on Patient Comfort, Care, and Outcome
This blog teaches procedures, with its case studies and videos intended to help you perfect your technique and strengthen your confidence. This month we explore issues related to procedural patient impact. How will your intervention positively or negatively affect patient outcome? What happens when we decide to step in and complete a procedure?   A risk is always inherent when a provider undertakes a procedure, no matter how insignificant. Carefully, we weigh the pros and cons of the potential procedure with our patients. Will our intervention cause a positive effect or outcome? Our goals are to repair, resolve, or restor...
Source: The Procedural Pause - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Pearls for Abscess Incision and Drainage
Part 2 in a Series Abscess incision and drainage should be loved and adored by all emergency providers because another abscess is waiting just behind the curtain. This month we highlight general guidelines for abscess incision and drainage, and show how to treat one in the video below. We will follow up with some additional videos in the months to come focusing on scalp, vaginal, and facial abscesses. And, just when you think you have seen it all, we will reveal a few more surprises.   Axillary abscess from hidradenitis. Photo by Martha Roberts.   The Approach n  Identification of an abscess appropriate fo...
Source: The Procedural Pause - March 31, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Pearls for Abscess Incision and Drainage
Part 2 in a Series Abscess incision and drainage should be loved and adored by all emergency providers because another abscess is waiting just behind the curtain. This month we highlight general guidelines for abscess incision and drainage, and show how to treat one in the video below. We will follow up with some additional videos in the months to come focusing on scalp, vaginal, and facial abscesses. And, just when you think you have seen it all, we will reveal a few more surprises.   Axillary abscess from hidradenitis. Photo by Martha Roberts.   The Approach n  Identification of an abscess appropriate for I&D....
Source: The Procedural Pause - March 31, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

General Guidelines Related to Abscess Incision and Drainage: Part II
Greetings! We’re excited to continue our series on abscess incision and drainage. This procedure should be loved and adored, because another abscess is waiting just behind the curtain. This month we will highlight (in video format) the final cut of abscess incision and drainage. We will follow up with some additional videos in the months to follow focusing on scalp, vaginal, and facial abscesses. And, just when you think you have seen it all, we will reveal a few more surprises.     The Approach ·         Identification of an abscess appropriate for I&D ·         If unsure, use ultrasound guide...
Source: The Procedural Pause - March 31, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated  joy of working in healthcare.  Physicians often forget just how alien the language of medicine is to people who don't live it everyday.  The best part about being a physician is not helping people recover from critical illness. The best part is not  about  listening and understanding with compassion and empathy.  Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process.   Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Priapism Emergency
Last month I focused on managing a common female genital problem, the Bartholin Gland abscess. In the spirit of equality, this month’s blog post looks at an important male genital problem, priapism. Unfortunately, the literature guiding treatment is not the most robust. Nevertheless, we do have recommendations and guidelines created by national and international experts who have digested the available literature. The guidelines created by the American Urological Association are the most frequently touted resource.(1)   I have written and delivered several lectures to our residents on this topic over the past several yea...
Source: M2E Too! Mellick's Multimedia EduBlog - September 5, 2012 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

A Word about Word Catheters
Treating Bartholin’s gland abscesses by incision and drainage using a Word catheter seems pretty simple and straightforward. Buford Word, MD, a gynecologist, first described his invention in 1964. (1) The basic premise is to place a mini-Foley catheter balloon into the abscess, and the balloon foreign body prevents closure with the subsequent formation of an epithelial fistula. Ideally, it remains in place for four to six weeks. Patient satisfaction and the success rate is excellent in comparison with a simple incision and drainage or marsupialization. (2, 3) The apparent simplicity is a little deceiving, and some of the...
Source: M2E Too! Mellick's Multimedia EduBlog - August 1, 2012 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs