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Eponymythology: Atraumatic Abdominal Ecchymosis
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Overview We review the original descriptions of 5 eponymous signs (n=6) associated with non-traumatic abdominal ecchymosis. These commonly cited eponyms involving the abdominal wall and flanks (Grey Turner, Cullen and Stabler); scrotum (Bryant) and upper thigh (Fox) may be useful clues directing the examiner to consider potentially serious causes of abdominal pathology. Cullen sign Thomas Stephen Cullen (1869–1953) was a Canadian gynecologist Non-traumat...
Source: Life in the Fast Lane - April 18, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Eponymythology Abdominal Ecchymosis Bryant sign Cullen sign fox sign Francis Edward Stabler George Grey Turner Grey Turner sign John Adrian Fox John Henry Bryant Stabler sign Thomas Stephen Cullen Source Type: blogs

Jellybean 93 with Naomi Diel
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The College of Intensive Care Annual Scientific Meeting is upon us. How do you make something like that happen? Lets ask Naomi Diel, part of last years organising committee. The CICM ASM is happening next month. It is in Hobart. That’s in Tasmania. Last year it was in Sydney. There are probably more first year ICU trainees in one hospital in Sydney than there are Intensivists of any description in the state of Tasmania. This year will be different. When I wa...
Source: Life in the Fast Lane - April 18, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Naomi Diel Source Type: blogs

TAPNA 2018: Its toxicology, Australian Style.
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog What is it? TAPNA is the annual scientific meeting for the Toxicology and Poisons Network Australia. Join Australian and International toxicologists at Sydney to run through a plethora of topics including fomepizole (should we use it in Australia?), urine drug screens, what to do with an anion gap and the latest in OP poisoning. TAPNA is hosting a stellar faculty including Dr Michael Eddleston from Edinburgh whose primary research is in pesticides and antidotes...
Source: Life in the Fast Lane - April 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Conference TAPNA toxicology Source Type: blogs

LITFL Review 327
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 327th 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 Rory Spie...
Source: Life in the Fast Lane - April 15, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

The trouble with cognitive biases
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Don’t get me wrong, I am a big fan of Pat Croskerry and metacognition but I do wonder whether the rest of the medical profession has become a bit fixated on cognitive biases. The fact that our errors now have names can lead to recrimination. Ever seen an M&M follow this cycle? Name (the cognitive error) Blame (usually the person isn’t named, but they feel it) Shame (note that cognitive errors have been talked about before) Train (having talked about i...
Source: Life in the Fast Lane - April 15, 2018 Category: Emergency Medicine Authors: George Douros Tags: Emergency Medicine cognitive biases george douros just culture system error Source Type: blogs

James Hayes Fellowship Study Group 2018
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The Victorian Registrar Study Group is held in at the Australasian College of Emergency Medicine Headquarters at West Melbourne on Saturday mornings, and has been a very great success since its inception.It was developed from Dr James Hayes’ Victorian Registrars Teaching program that ran from the Northern Hospital for just on 15 years. When this program was terminated in 2013, the current program at the College was created by a group of highly esteemed educator...
Source: Life in the Fast Lane - April 13, 2018 Category: Emergency Medicine Authors: Neil Long Tags: FACEM Fellowship James Hayes Study group VIC VIC FACEM Source Type: blogs

Funtabulously Frivolous Friday Five 234
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 234. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: What is Stabler sign? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1709146611'));expand(document.getElementById('ddetlink1709146611')) Stabler...
Source: Life in the Fast Lane - April 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five appendicitis botulism cullen echinococcus granulosus ectopic pregnancy Francois Henri Hallopeau hair hydatid Kenya Rovsing's Selman Waksman Stabler's sign Trichotillomania trichotillomaniac water lily si Source Type: blogs

Medmastery: Abdominal aorta
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Exploring the Point of Care Ultrasound Essentials course with a video demonstrating the examination to identify abdominal aortic aneurysm. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitter Guest post: Viveta Lobo, MD (@vivetalobo). Attending Emergency Medicine Physician and Associate Director, Emergency Ultrasound Fellowship ...
Source: Life in the Fast Lane - April 11, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery AAA abdominal aortic aneurysm POCUS Viveta Lobo Source Type: blogs

LITFL Review 326
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 326th 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 Read this...
Source: Life in the Fast Lane - April 8, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Mastering Intensive Care 029 with Simon Finfer
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Does each bedside decision you make actually help your patient to feel, function or survive? Have you considered how frightening and intimidating the Intensive Care Unit environment is to your patients and their families? Do you feel empowered by the people you work with and the culture in your ICU? Simon Finfer loves telling a tale. In this episode you’ll hear the story of the serendipitous and multi-national route Simon took to end up working for 25 years in ...
Source: Life in the Fast Lane - April 8, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies culture ICU patients and families simon finfer Source Type: blogs

Funtabulously Frivolous Friday Five 233
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 233. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: Who popularised museli? + Reveal the Funtabulous Answer expand(document.getElementById('ddet201504324'));expand(document.getElementById('ddetlink201504324')) Dr Maxi...
Source: Life in the Fast Lane - April 6, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bircher Bircher Museli Clare Stanton Ekbom syndrome II Ernest W Goodpasture Essex Lopresti Goodpastures disease hugo flecker irukandji irukandji syndrome jack barnes John Range Maximilian Bircher-Benner Pa Source Type: blogs

Tropical Travel Trouble 007 Mega Malaria Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 007 When you think tropical medicine, malaria has to be near the top. It can be fairly complex and fortunately treatment has become a lot simpler. This post is designed to walk you through the basic principals with links to more in depth teaching if your niche is travel medicine, laboratory diagnostics or management of severe or cerebral malaria. If you stubbled on this post while drinking a cup of tea or sitting on the throne and want a fe...
Source: Life in the Fast Lane - April 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine malaria Plasmodium plasmodium falciparum plasmodium knowles plasmodium malariae plasmodium ovale plasmodium vivax Source Type: blogs

Medmastery: EFAST Pneumothorax
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Exploring the Point of Care Ultrasound Essentials course with a video demonstrating the EFAST examination to identify pneumothorax. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitter Guest post: Viveta Lobo, MD (@vivetalobo). Attending Emergency Medicine Physician and Associate Director, Emergency Ultrasound Fellowship at Stan...
Source: Life in the Fast Lane - April 4, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery EFAST pneumothorax POCUS Viveta Lobo Source Type: blogs

LITFL Review 325
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 325th 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 The ...
Source: Life in the Fast Lane - April 2, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Mastering Intensive Care 028 with John Santamaria
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog John Santamaria – Genuine care for patients both during and after the ICU stay How well do you understand what happens to your patients after they leave the ICU? Do you find out how they go and feed this back to your ICU team? Most of you give excellent care to your patients whilst they are in the intensive care unit. No doubt this will be compassionate, appropriate, diligent, information-driven, holistic, team-based and communicative care. But when they leave...
Source: Life in the Fast Lane - March 31, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies ex-ICU genuine care John Santamaria Source Type: blogs

Funtabulously Frivolous Friday Five 232
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 232. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: This week’s tropical case was on cholera. John Snow, the godfather of epidemiological medicine, showed that the pump on Broad Street in London was responsible f...
Source: Life in the Fast Lane - March 29, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bellevue Stratford Hotel black fever Broad Street cholera Dum-Dum fever Dumdum Henry Whitehead john snow Joseph McDade Kala-azar Killer fever Legionnaries disease Leishmania donovani leishmania infantum Source Type: blogs

Medmastery: Pericardial effusion
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Today, we explore the Echocardiography Essentials course with a video demonstrating rapid bedside assessment and diagnosis of pericardial effusion. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitter Guest post: Helen Rimington, MD, PhD. Consultant Cardiac Physiologist at Guy’s and St Thomas’ NHS Trust, London, UK, a...
Source: Life in the Fast Lane - March 28, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery echocardiography pericardial effusion TTE Source Type: blogs

Tropical Travel Trouble 006 Watery Diarrhoea
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 006 Our medical student who caught shigella on a Nepalese elective has a thirst for adventure. They plan to help at a Bangladesh refugee camp but the latest CDC report states there have been some cases of cholera. They’ve done a little bit of reading and want your help to teach them all about cholera and how they may prepare and best serve their new community. Questions: Q1. What is cholera and how is it transmitted? Answer and inte...
Source: Life in the Fast Lane - March 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine cholera diarrhoea john snow ORS rice water diarrhoea watery diarrhoea Source Type: blogs

LITFL Review 324
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 324th 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 Nice...
Source: Life in the Fast Lane - March 25, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Jellybean 92 with Sethy Ung – The Angkor Hospital for Children
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Let’s talk about Cambodia. Let’s talk to a Cambodian man born in Australia as a result of war. Let’s talk about what one asylum seeking family has given back to both countries. Sometimes curiosity can take you on an expected journey. Sometimes a mixture of fortune and fate (if such things truly exist) throw opportunities at your feet, though you may not know it at the time. A journey of self discovery. An offer of help to a group of strangers. An...
Source: Life in the Fast Lane - March 24, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Angkor Hospital Cambodia Sethy Ung Source Type: blogs

Funtabulously Frivolous Friday Five 231
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 231. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: You find yourself on holiday in Africa helping out with a dermatology clinic (yes, your forte as an emergency physician). In the queue is a young boy who describes&nb...
Source: Life in the Fast Lane - March 22, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five anthrax cholera Dilip Mahalanabis Dr Bayford dysentery dysphagia lusoria ORS saber shins Thomas Hodgkin wool-sorters disease yaws Source Type: blogs

Medmastery: Mitral regurgitation
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Today, we explore the Echocardiography Essentials course with a video demonstrating rapid bedside assessment of mitral regurgitation and how to recognise cardiac decompensation following rupture of a cord in mitral valve prolapse using TTE. Further reading: LITFL Medmastery Collection Medmastery on Facebook and Twitter Guest post: Helen Rimington, MD, P...
Source: Life in the Fast Lane - March 21, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery echocardigraphy Mitral regurgitation TTE Source Type: blogs

Tropical Travel Trouble 005 RUQ Pain and Jaundice
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 005 Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow...
Source: Life in the Fast Lane - March 19, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs

Feed Me
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Quick update… The cost of FREE can be huge and our bandwidth/hosting costs almost led to our closure in December. However, thanks to assistance from vocortex and iSimulate, we are back on track. We are currently rebuilding the site, but minimal disruption should be encountered. Libraries We are completing the final build of a series of libraries including Ultrasound, Toxicology, Trauma, Tropical Medicine, Eponyms and an Examination database …as wel...
Source: Life in the Fast Lane - March 19, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Administration iSimulate Newsletter rss update vocortex Source Type: blogs

LITFL Review 323
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 323rd 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 Are you still ordering BNPs? Spiegel and Morgenstern do a deep dive into the litera...
Source: Life in the Fast Lane - March 18, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

OSCE Resources
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog So before I completely lose sight of what I had to go through as a registrar I have assembled 18 OSCE videos for you to critique, make comments and discuss with your DEMT as part of your OSCE campaign. These were completed over two days by a dedicated Melbourne FACEM team. The team were amazing to watch and I hope their skills will help you pass the OSCE. Good luck and I will think of you as I now have uninterrupted nights sleep as a FACEM and I can start talking ...
Source: Life in the Fast Lane - March 18, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Education Emergency Medicine FACEM Fellowship OSCE Part II videos Source Type: blogs

Funtabulously Frivolous Friday Five 230
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 230. Question 1: Braille refined ‘night writing’ so it could effectively be used in the blind population. Who originally commissioned ‘night writing’ for the military?  + Reveal the Funtabulous Answer expand(document.getElementB...
Source: Life in the Fast Lane - March 15, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five beard bowel obstruction Braille Charles Barbier Faget's sign Hans Steininger Napoleon orthodontic wire Sutton's law Sutton's slip Source Type: blogs

Medmastery: Aortic regurgitation
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Today, we explore the Echocardiography Essentials course with a video demonstrating rapid bedside assessment of aortic regurgitation and how to recognize haemodynamically significant aortic regurgitation using transthoracic echo. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitter Guest post: Helen Rimington, MD, PhD. Consultant...
Source: Life in the Fast Lane - March 14, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery aortic regurgitation echocardiography transthoracic echocardiography (TTE) Source Type: blogs

Tropical Travel Trouble 004 Bloody Diarrhoea
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 004 A medical student who has just returned from their elective in Nepal presents with 1 week of bloody diarrhoea. He has been in the lowlands and stayed with a family in the local village he was helping at. It started three days before he left and he decided to get home on the plane in the hope it would settle. He is now opening his bowels 10x a day with associated cramps, fevers and has started feeling dizzy. Questions: Q1. What is dyse...
Source: Life in the Fast Lane - March 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amoebic dysentery bacillary dysentery e.histolytica entamoeba histolytica shigellosis Source Type: blogs

LITFL Review 322
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 322nd 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 Intensive Care Network have more podcasts from the CICM ASM. A new batch focusi...
Source: Life in the Fast Lane - March 11, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 229
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 229 – musical medial conditions from http://www.songfacts.com. Question 1 “I stare into Some great abyss And calculate The things I’d miss If I could only Make some sense of this.” Sheryl Crow is singing about her experience undergoi...
Source: Life in the Fast Lane - March 9, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five ACDC breast cancer cardiac arrest gonorrhoea heart attack heroin Leonard Cohen Madness radiation song Sheryl Crow Spiderbite The Flaming Lips The Jack Source Type: blogs

Tropical Travel Trouble 003 Stiff in the Mouth
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 003 A 65 yr old woman from Ethiopia is visiting her grandchild for the first time in Europe. She is normally fit and well, physically active with a small-holding in Ethiopia. She does not take any medication and cannot remember the last time she saw a doctor. She presents to you with difficulty chewing 3 days after arriving in the UK. She describes it as being “stiff in the mouth” Questions: Q1. What is the differential diagno...
Source: Life in the Fast Lane - March 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine tetanus Source Type: blogs

Introducing … Resuscitology
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The latest project I’m involved in – led by Cliff Reid with my FOAM friends Nat May, Geoff Healy, Brian Burns, and Karel Habig – has just gone live, it is: This is what it’s all about: A two-day residential course for resuscitationists in the Blue Mountains, New South Wales, Australia on May 9-10th 2018. A different course. Personal. Tailored. Intense in parts. Fun throughout. But be prepared to go deep. Your faculty have dedica...
Source: Life in the Fast Lane - March 5, 2018 Category: Emergency Medicine Authors: Chris Nickson Tags: Education Emergency Medicine Intensive Care Resuscitation brian burns Chris Nickson cliff reid course geoff healy karel habig nat may resuscitology Source Type: blogs

LITFL Review 321
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 321st 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 Are you an average doctor? Sounds harsh, but most of us are. Ross Fisher tells us wh...
Source: Life in the Fast Lane - March 5, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Mastering Intensive Care 026 with Peter Kruger
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Peter Kruger – Does anecdotal experience help you provide better intensive care? How do you balance the use of your clinical experience with the literature-based evidence? Are you a good enough listener? Is the clinical handover in your ICU the best it could be? I’ve been reflecting on these questions since I talked to A/Prof Peter Kruger for this week’s Mastering Intensive Care podcast. Peter is Deputy Director of Intensive Care at the Princess Ale...
Source: Life in the Fast Lane - March 4, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies Peter Kruger Source Type: blogs

Funtabulously Frivolous Friday Five 228
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 228. Question 1 Who is the Berlin patient? + Reveal the Funtabulous Answer expand(document.getElementById('ddet528624629'));expand(document.getElementById('ddetlink528624629')) Timothy Ray Brown Arguably the first person to be cured of HIV. There are other...
Source: Life in the Fast Lane - March 2, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Berlin patient bullet virus HIV PCP pneumocystis carinii Pneumocystis jiroveci Queen Square Hammer rabies Reflex hammer reflexes Taylor Hammer The Ramones Timothy Ray Brown Troemner hammer Source Type: blogs

Jellybean 91 with SMACC Poet Sanaah Sultan
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog In Berlin, in the footlights, with heart in throat. In London, in the headlights, with heart in hands. In her heart, in Kashmir, always in Kashmir. A young woman that rather took the stage by storm at dasSMACC shares a little bit of her own heart and a lot more of someone else’s heart. Sanaah demands attention. She demands attention because attention is required. Not for herself. Attention is demanded on behalf of the disputed territory of Kashmir. On behalf...
Source: Life in the Fast Lane - February 28, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean dasSMACC Kashmir poet Sanaah Sultan Sufayed Source Type: blogs

Medmastery: Evaluation of the spleen in trauma
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. In this video, from the Abdominal Ultrasound Essentials course, Dr. Nikolaus Mayr discusses the basic principles of ultrasound of the spleen in trauma including subcapsular haematoma, focal intraparenchymal haematoma, splenic lacerations, splenic rupture and active bleeding. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitter Gu...
Source: Life in the Fast Lane - February 28, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery FAST spleen splenic haematoma splenic rupture Trauma Source Type: blogs

Tropical Travel Trouble 002 Rabies
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 002 A 19 year old gap year student has returned from India to your emergency department reporting she was bitten by a monkey at a temple. A selfie gone wrong but it scored 1000+ likes on Facebook… She is concerned because one of the Facebook comments suggested she may have rabies! A quick Google search suggested 60,000 people a year DIE from rabies. Should she be worried? Should you be worried? Questions Q1. What other questions sh...
Source: Life in the Fast Lane - February 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine rabies Source Type: blogs

LITFL Review 320
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 320th 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 Deep dive into flu controversies on this episode of FOAMcast, including a review of the...
Source: Life in the Fast Lane - February 26, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 227
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 227. Question 1 In 1979 a study was conducted at a tea plantation in Sri Lanka, what was given to the tea pickers to increase their productivity? + Reveal the Funtabulous Answer expand(document.getElementById('ddet758252362'));expand(document.getElementById...
Source: Life in the Fast Lane - February 22, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five art Doctor Duncan florence Francis Galton iron deficiency anaemia kings evil medical officer of health monarch prayer radiaid scrofula Sri Lanka Stendhal syndrome TB tea pickers tuberculous lymphadenop Source Type: blogs

Medmastery: Detecting malignant focal lesions
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. In this video, from the Abdominal Ultrasound Essentials course, Dr. Nikolaus Mayr discusses the basic principles of liver ultrasound including the differentiation of malignant pathologies such as hepatocellular carcinoma (HCC), cholangiocarcinoma and metastases. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitt...
Source: Life in the Fast Lane - February 20, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery liver malignant Ultrasound Source Type: blogs

Medmastery: Detecting malignant focal lesions.
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. In this video, from the Abdominal Ultrasound Essentials course, Dr. Nikolaus Mayr discusses the basic principles of liver ultrasound including the differentiation of malignant pathologies such as hepatocellular carcinoma (HCC), cholangiocarcinoma and metastases. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitte...
Source: Life in the Fast Lane - February 20, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery liver malignant Ultrasound Source Type: blogs

Investigative Epidemiology: Putting your head above the parapet
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Part of the joys of studying at the Liverpool Tropical School of Medicine is the weekly Wednesday lunchtime lectures. This week we were treated to investigative journalist Deborah Cohen (@deb-cohen), an award winning medically qualified TV, print and radio reporter, as well as being an editor on the British Medical Journal. Dr Cohen gives us a glimpse of her dark world, interviews ‘on’ and ‘off’ the record; brown envelopes; the manipulation...
Source: Life in the Fast Lane - February 20, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Investigative Epidemiology Bawa-Garba MVA85A Tamiflu Source Type: blogs

LITFL Review 319
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 319th 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 A “proper” set of posts: Rory Spiegel investigates whether we have achieved...
Source: Life in the Fast Lane - February 19, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 226
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 226. Question 1 Between 1995 and 2000 the CDC in the USA reported 15 to 18% of cases of tetanus in which particular subset of the population? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1602238564'));expand(document.getElementById('d...
Source: Life in the Fast Lane - February 15, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Source Type: blogs

Research and Reviews in the Fastlane 195
This study finds an association between IO use and worse neuro outcomes but, the data is extremely limited due to a host of biases. It’s unclear why IO was chosen as the route and the IO group was sicker overall. Additionally, with no evidence for benefit of any meds in cardiac arrest, there isn’t even a physiologic basis for why IO would be worse than IV. Ultimately, only a randomized trial can give us any useful information. We should continue to de-emphasize the importance of obtaining access in arrest. Recommended by: Anand Swaminathan The R&R iconoclastic sneak peek icon key The list of con...
Source: Life in the Fast Lane - February 15, 2018 Category: Emergency Medicine Authors: Jeremy Fried Tags: Education Emergency Medicine Pediatrics R&R in the FASTLANE Resuscitation literature recommendations research and reviews Source Type: blogs

Medmastery: The biliary system and Cholecystitis
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Dr Nikolaus Mayr from the Abdominal Ultrasound Essentials course demonstrates ultrasound examination of the biliary system. Dr Mayr provides strategies to help identify the biliary system especially the gallbladder with the help of ultrasound imaging. Clinical examples of acute and chronic cholecystitis as well as the porcelain gallbladder. Further reading:...
Source: Life in the Fast Lane - February 14, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery biliary system cholecystitis Nikolaus Mayr Porcelain gallbladder Ultrasound Source Type: blogs

Jellybean 90 with Jessica Stokes-Parish – Simulationist
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Over simulated? Simulation; surely one of the fastest growing parts of health education in recent times. There is much more to simulation than a plastic mannequin and healthcare is but a small part of the bigger picture. Matt McPartlin went along to the Australasian Simulation Congress and spoke to ICU nurse and co-convenor Jessica Stokes-Parish. We sent Matt MacPartlin off to pretend to be a submariner, a jet pilot and an ICU Nurse. He wasn’t qualified for an...
Source: Life in the Fast Lane - February 13, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: JellyBean Jessica Stokes-Parish Simulationist simulcast Source Type: blogs

Eponymythology: Graves orbitopathy
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Having recently reviewed the chronology of diffuse toxic goitre (Parry-Graves-Basedow disease) we tackle the chronological descriptions behind Graves orbitopathy (GO). Why? Well, I’m still working that out. But I think that in our KPI-driven quest for diagnostic certainty, we have forgotten the descriptive pioneers – the clinical diagnosticians. Time to review the descriptions and eponymythology of the forgotten signs associated with Graves orbitopathy&n...
Source: Life in the Fast Lane - February 12, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Eponymythology Dalrymple sign Graefe sign Graves Opthalmopathy Graves orbitopathy Joffroy sign Möbius sign stellwag sign Source Type: blogs