The LITFL Review 103
Welcome to the 103rd edition! 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 The Sono Cave For those of you that love ultrasound or just learning – The Sono Cave is the ultimate EM blog fo...
Source: Life in the Fast Lane - May 7, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

The LITFL Review 103
Welcome to the 103rd edition! 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 The Sono Cave For those of you that love ultrasound or just learning – The Sono Cave is the ultimate EM blog fo...
Source: Life in the Fast Lane - May 7, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

Please Poke My Paronychium!
THE BASICSWhat is more satisfying than draining a pus-filled paronychium? Seeing the look of relief on the face of your patient when his painful, pulsating digit is relieved of all that tension! This rather elementary procedure could be perceived as stale and uneventful for some of you. The more thorough and astute clinicians, however, realize these tiny infections around the nail root may open the door to a mixed bag of insidious and harmful bacterial infections including MRSA, chronic reoccurrences, cellulitis, subungual abscesses, osteomyelitis, herpetic whitlow, or even the dreaded felon.   Whatever your pleasure, thi...
Source: The Procedural Pause - May 1, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Helen Show Us Your Magic
I just called my mother to inquire about what our Helen is cooking for lunch. Mom said we are having barbecue chicken, corn on the cob, green beans, fruit salad, and cornbread. Mom also said my father stayed up late last night making his signature homemade barbecue sauce. It truly is a sauce made in heaven. I need to get the recipe for that sauce and put it on the blog. We thought we were going to lose our Helen when she had that terrible bout with cellulitis. Helen says she is still sore and it has been weeks since the breakout. The steps coming up from the foyer and laundry room are especially hard on her. They're tough ...
Source: The 4th Avenue Blues - April 26, 2013 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Tips: Blood Culture collection.
The early detection and aggressive management of sepsis is vital in reducing morbidity and mortality, and the gold standard in detecting bacteraemia in our patients is the blood culture. Contamination of blood culture specimens or poor technique may lead to delay in optimum clinical decisions and management with inappropriate or unnecessary antibiotics. Not to mention wasted expenses. Blood culture bottles contain a soup of nutrients that feed a wide range of bacteria/fungi. Some bottles (including the BD BACTEC Plus media) also contain a resin to neutralise any antibiotics present in the patient’s blood in order to prom...
Source: impactEDnurse - March 19, 2013 Category: Nurses Authors: impactEDnurse Tags: tips and tricks Source Type: blogs

The World’s Most Raucous Dishwasher…
The phone rang early this morning as I was washing Maggie’s and my breakfast dishes in the sink.  I have the world’s most raucous dishwasher and only use it sparingly. The thing is still brand new it has been used so little. I wiped my hands dry and hurried to the phone in my computer room. “Helen just called in sick today,” my mother told me worriedly. “She thinks she is going to have to go in the hospital because of her cellulitis in her leg. She can barely walk. The antibiotics aren’t working.” “I do hope she gets better,” I told my mother very sadly. “I don’t know what we will do without o...
Source: The 4th Avenue Blues - February 8, 2013 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Helen’s Meal Du Friday – Soul Food at its Finest…
Helen is still having a terrible time with cellulitis in her leg.  She said she was in a lot of pain today. Dad told her just to stay home and rest, but she showed up, did the grocery shopping, and prepared a wonderful meal.  We had a fried chicken breast, creamed potatoes, green beans, black eyed peas, and cornbread.  Not pictured is two deviled eggs and a green salad with ranch dressing. (Source: The 4th Avenue Blues)
Source: The 4th Avenue Blues - February 1, 2013 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Broken Record Extraordinaire…
Mom called me a moment ago. She is kind of manic today. I could hear it in her voice. She couldn’t get her words out fast enough.  Helen is really sick with cellulitis in one of her legs.  She can hardly walk. There will be no Helen Friday today.  Bless her heart! She needs to rest! “Do you want me to go get us a barbeque plate at Roger’s?” my mother asked, anxious for an answer. “Or we could get a catfish plate from Merl’s Diner?” I told her I thought that Rodger’s would be an awesome idea. “Guess what your father had picked for Helen to cook today?” my mother asked snickering.. ...
Source: The 4th Avenue Blues - January 25, 2013 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Doctors Prescribe, Pharmacists Dispense, Patients Suffer
Spotted in LKS’ blog by Product Of The System Real Life Scenario Madam Ong is a 52-year-old lady with a twelve-year-history of hypertension and diabetes. She complained of generalised lethargy, lower limb weakness, swelling and pain. She brought along her cocktail of medications for my scrutiny. Her regular medications included the oral antidiabetics metformin and glicazide and the antihypertensives amlodipine and irbesatan. Madam Ong also had a few episodes of joint pains three months ago for which she had seen two other different doctors. The first doctor suspected rheumatoid arthritis and started her on a short co...
Source: Malaysian Medical Resources - January 4, 2013 Category: Health Medicine and Bioethics Commentators Authors: palmdoc Tags: - Ethics - Guest - Nation Dispensing doctors MOH Pharmacists Source Type: blogs

16viii10
The reading for Tuesday 24th will beAssessing a learning disabled patient ' s capacity to manage his own care and make important decisions. Read the material and share your thoughts with the team.Friday 2oth two minute talks are on the topic of cellulitis: epidemiology; diagnosis; treatment (uncomplicated case); complicated cellulitis; recurrent cellulitis. Keep it concise yet precise. Quote your sources.Pre-warning for Friday 27th because it might take a little more work...Thucydides described of the plague of Athens, in 431BC inThe History of the Peloponnesian War. If you click on the link it will take you to a copy of t...
Source: MJM Wardrounds - August 16, 2010 Category: Universities & Medical Training Source Type: blogs