LITFL Review 317
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 317th 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
Learn to be a pediatric airway master with these fundamental moves from PEM Playbook. [MMS]
T...
Source: Life in the Fast Lane - February 4, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 220
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 220.
Question 1
What deceased Nobel Prize winner’s eyes are currently sitting in a safety deposit box in New York City?
+ Reveal the Funtabulous Answer
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Source: Life in the Fast Lane - December 29, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Albert Einstein Clutton's joints diabetes erysipelas eyes glucose holy fire Lattimer Napoleon Bonepart New York nintendo penis St Anthony's Fire syphilis Source Type: blogs
Your plumber offers a money-back guarantee. Should your doctor?
Linda Radach has had six hip replacement operations since 2006, three on each side. Osteoarthritis was the reason she needed surgery in the first place, but replacing her hips in some ways only worsened her troubles.
Following two of the procedures, the implanted metal socket didn’t integrate with the bone of her own hip socket and was loose, causing excruciating pain. Most recently, the titanium metal ball in her hip corroded.
The surgical complications were bad enough, but after one of the operations, Radach, 63, also developed cellulitis, a bacterial skin infection that if left untreated can turn deadly.
Having to pay...
Source: Kevin, M.D. - Medical Weblog - December 18, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michelle-andrews" rel="tag" > Michelle Andrews < /a > Tags: Policy Hospital-Based Medicine Public Health & Surgery Source Type: blogs
Taming the Tattoo
What do you do when something weird and wild comes into your emergency department? This month, we mean lacerations over tattoos or body piercings. Cosmetic repair of injuries involving tattoos and piercings are important to our patients. We should ensure proper wound closure while preserving the underlying body art.Tattoos and piercings are ancient practices of body modification. This form of art appreciation continues to be a popular and important cosmetic alteration for many people. Body art ranges from ear piercings ($20-30 for earlobes) to extensive tattoos that cost thousands of dollars.Many have sentimental value ...
Source: The Procedural Pause - December 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
These are the biggest medical issues of 2017
Periodically we should reflect on what challenges face patients and physicians. Over the past few days, I have worked on a list of the issues that concern me the most. I welcome suggestions for expanding the list.
1. Diagnostic errors. All patient care requires that we make the proper diagnosis. Too often we make errors. A recent paper estimated that 30 percent of cellulitis admissions did not have cellulitis. A similar paper found almost the same estimate for community-acquired pneumonia admissions. The most common reason for successful malpractice claims is diagnostic errors. Have they increased? Members ...
Source: Kevin, M.D. - Medical Weblog - November 22, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/robert-centor" rel="tag" > Robert Centor, MD < /a > Tags: Physician Hospital-Based Medicine Primary Care Public Health & Policy Source Type: blogs
Cavernous Sinus Thrombosis: Case Report
Discussion by Dr MGK Murthy, Dr GA Prasad Cavernous sinus is extradural venous plexus surrounded by a dural fold in the middle cranial fossa containing internal carotid artery with its periarterial sympathetic plexus, abducens nerve lateral to the internal carotid artery, but medial to the oculomotor and trochlear nerves and the ophthalmic and maxillary divisions of the trigeminal nerve, which run superior to inferior within the lateral dural border of the cavernous sinus. Thrombosis of the cavernous sinus is usually caused by bacterial or fungal invasion comp...
Source: Sumer's Radiology Site - November 14, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Things we discussed last week on rounds
Each week on rounds several very interesting topics arise. In December I plan to discuss these issues on a daily basis, but today I am reflecting on 5 days of ward rounds last week. I just plan to list some issues, not include the discussions or why we focused on those issues. Please feel free to ask questions or request a longer post on an issue.
When to give bicarbonate for metabolic acidosis – increased versus normal gap acidosis
How you can have both a metabolic alkalosis and acidosis at the same time
When to aggressively evaluate an anion gap acidosis
What is community acquired pneumonia and when should w...
Source: DB's Medical Rants - November 13, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
The major medical issues of 2017
Periodically we should reflect on what challenges face patients and physicians. Over the past few days I have worked on a list of the issues that concern me the most. I welcome suggestions for expanding the list.
Diagnostic errors – all patient care requires that we make the proper diagnosis. Too often we make errors. A recent paper estimated that 30% of cellulitis admissions did not have cellulitis. A similar paper found almost the same estimate for community acquired pneumonia admissions. The most common reason for successful malpractice claims is diagnostic errors. Have they increased? Members of ...
Source: DB's Medical Rants - November 3, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Weird and Wild: Scalp Abscesses and Kerions
Welcome back to the weird and wild, "what do I do with that?" series! We want to take you back to the magical land of abscesses. This scalp abscess case study and Procedural Pause pearl will help you relieve significant pain and decrease the risk for skin infections and complications. This case made it to our weird and wild list for being rare and interesting.Scalp abscesses and kerions can be tricky and complicated. At first glance, they can appear small and harmless. They are often underappreciated for this reason, but require immediate attention. There are several types of wound infections and rashes tha...
Source: The Procedural Pause - November 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
LITFL Review 300
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 300th 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
Flavia Machado is this week’s Master of Intensive care, discussing how she manages things i...
Source: Life in the Fast Lane - October 1, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Short and Long Posterior Splints for Leg Injuries
We use splints to help immobilize and stabilize injuries, but it's important to realize splinting also alleviates pain and edema and promotes healing until follow-up. If you are ever concerned that there is a fracture (even if it's not apparent on radiograph, i.e., navicular fractures), splint your patient before discharge. If you have the luxury of orthopedic consult in-house, talk to him before discharge.Indications for Short Posterior Splint-Fractures of the distal tibia and/or fibula-Ankle dislocations-Severe sprains-Fractures of the talus-Fractures of the calcaneus-Foot fractures such as fractures of the fifth m...
Source: The Procedural Pause - September 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Is the “full course of antibiotics” full of baloney?
Follow me on Twitter @JohnRossMD
Antibiotic resistance is an emerging threat to public health. If the arsenal of effective antibiotics dwindles, treating infection becomes more difficult. Conventional wisdom has long held that stopping a course of antibiotics early may be a major cause of antibiotic resistance. But is this really supported by the evidence?
According to a new study in the BMJ, the answer is no.
The notion that a longer course of antibiotics prevents resistance started early in the antibiotic era, when doctors found that patients with staphylococcal blood infections and tuberculosis relapsed after short anti...
Source: Harvard Health Blog - August 17, 2017 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Drugs and Supplements Health Infectious diseases Source Type: blogs
