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

About Sports Concussion
Concussion knowledge and application of practical guidelines in sport are based on current international concussion opinion 1-3 . A recent exponential increase in the number of concussion publications in the literature has been summarized in these consensus documents. It should be noted that the science of concussion continues to evolve. Current paradigms should be critically evaluated and periodically reviewed. Woman’s Lacrosse What is concussion? Concussion is a disturbance in the brain’s ability to acquire and process information. The reduced function of the brain represents damage to nerve cells (neurons). The ...
Source: Life in the Fast Lane - April 27, 2013 Category: Emergency Medicine Doctors Authors: Ryan Kohler Tags: Health Source Type: blogs

Difficult Day
Today has been a very difficult day - difficult meaning painful.  I have no idea why, I'm not a doctor.  I wrote a post last night that I deleted when I woke up because I thought it was unfair and angry, so I'm unsure what I said and haven't said.  Since the nurse told me hydrocodone caused constipation and I haven't had a BM yet and she seemed like that was a big deal, I didn't take any when I woke up, just the 600mg of acetiphentemine.  But I'd already had the cramps from the laxative she told me to take yesterday, and honestly, I have no idea why I had so much pain this morning.  Finally after n...
Source: bipolar.and.me - April 23, 2013 Category: Mental Illness Source Type: blogs

Healing
Thursday I did as the doctor ordered - mental and physical rest - and it was so incredibly boring!  I took Motrin as he had suggested opposed to Advil, and found that it worked for my awful headaches so I felt fine.  I think I've taken a total of two hydrocodone, I actually didn't need it.  I was by myself all day but emotional and I'm not quite sure why.  I would have short bouts of crying fits and then it would be over.  The day before I did really stupid things like searched the house for my keys for about an hour until I found them still in the front door.So after feeling fine all day, Mar...
Source: bipolar.and.me - March 10, 2013 Category: Mental Illness Source Type: blogs

Scared Medicationless?
I went to the doctor and he confirmed what I already suspected - yes, I have a mild concussion.  I had a CT scan which turned out to be normal except for an unrelated sinus cyst.  I was told to get one week of physical and mental rest.  That just seemed a bit crazy to me - a whole week of doing absolutely nothing?  And I didn't have most of the concussion symptoms, mainly just horrible, horrible headaches.  So he finally said if I was symptom free by Monday, I could go back to school, but absolutely nothing physical or mental until then.  I had to ask what was "mental rest"?  He gave...
Source: bipolar.and.me - March 7, 2013 Category: Mental Illness Source Type: blogs

Horrible Day, But All Days Can't Be Roses
I hit my head really, really hard sitting down on the train on Monday.  I don't remember ever hitting my head that hard, it almost knocked me down.  It made a loud sound, at least to me, and I looked behind me to see if people were looking at me, but no one seemed to notice or perhaps they were being polite to save me the embarrassment.  Anyway, that night I started getting a headache, and it has been slowly progressing into being more and more painful until last night it was almost a migraine.  Almost - but not quite, but it was bad enough that I knew from when I used to get migraines to get ...
Source: bipolar.and.me - March 6, 2013 Category: Mental Illness Source Type: blogs

Roger Goodell: Marlboro Man
Roger Goodell, the NFL commissioner, earned over $29 million in salary and bonuses last year.  The current TV contracts negotiated with NBC, ESPN, CBS, and FOX will guarantee the league's owners over $7 billion to be split amongst themselves.  Remind me again why anyone would possibly doubt Mr Goodell's sincerity when he says that his primary concern is the safety and well being of NFL players?  Remember his quote from the Bob Schieffer interview: In fact, we’re all learning more about brain injuries, and the NFL has led the way,” he declared. “We started a concussion committee back in the mid-90s w...
Source: Buckeye Surgeon - February 21, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs

Roger Goodell: A Modern RJ Reynolds Spokesman
Roger Goodell's interview last Sunday with Bob Schieffer about the link between football-related head trauma and long term cognitive impairment (CTE) was a a sickening display of arrogant obfuscation and denial.  This line, when asked if he would ever allow his own son to play football, is especially revealing:   “Absolutely,” the NFL commissioner insisted. “I have twin daughters just like the president, and I’m concerned when they play any sport. The second-highest incidents of concussions is actually girls soccer. So what you have to do is to make sure the game is as safe as possible. In the ...
Source: Buckeye Surgeon - February 6, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs

Why I’m saying goodbye to football
Junior Seau had CTE, chronic traumatic encephalopathy, the degenerative brain disease known to afflict individuals who have sustained repeated head injuries over time.Junior Seau played football his whole life and was never officially diagnosed with a concussion.  Last May he sat down one day and shot himself in the heart.  Dave Duerson, the former Bears safety, did this too, as a way to preserve his cadaveric brain for post-mortem study.  The official report from the NIH confirmed a diagnosis that surprises exactly no one.  A lifetime of small, seemingly minor, but accumulative traumatic head blows sustained playin...
Source: Kevin, M.D. - Medical Weblog - January 28, 2013 Category: Family Physicians Tags: Conditions Neurology Source Type: blogs

Worst NFL Injuries - Tom Junod on Injury Issue in the NFL - Esquire
This NFL season has been defined by people talking about "the injury issue" — pundits, columnists, league officials. The one voice you haven't heard — until now — belongs to the players.By Tom JunodCrushed SkullPhil ToledanoPublished in the February 2013 issue, on sale any day nowMy left knee has been aching this entire week. I don't know why. I didn't get hit directly on it in the last game. My right knee has started the week so sore the side where the nerve got hit. When I wear the brace, my knees feel like total crap. When I start moving around, the muscles and tendons in my leg feel so stressed, sometimes I feel ...
Source: Psychology of Pain - January 26, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

The Ethics of Public Diagnosis Using an Unvalidated Method
The last post covered a new study claiming to identify markers of chronic traumatic encephalopathy (CTE) in living patients using a method called FDDNP PET (Small et al., 2013). Previously, the disease could only be diagnosed at autopsy due to the requirement to process post mortem tissue for the presence of tau protein. The paper made a big splash in the media because the patients in the study were five former NFL football players.Combining the journal article with two different news reports, I was able to identify the following information about the players and their brains (which are shown in the figure above):NFL1: Fre...
Source: The Neurocritic - January 25, 2013 Category: Neurologists Source Type: blogs

Michael McCann Taking Situationist Sports to UNH
Congratulations are in order to Michael McCann (who, among other things, is the co-founder of this blog).  The University of New Hampshire Law School just announced that they are launching the Sports & Entertainment Law Institute under the direction of Michael McCann, who will be moving from Vermont Law School where he directed the Sports Law Institute.  Here’s the announcement from UNH. Noted sports law expert Michael McCann will join the University of New Hampshire School of Law this fall to launch a new Sports and Entertainment Law Institute. McCann has been a visiting professor at UNH Law during the 2012-13...
Source: The Situationist - January 12, 2013 Category: Psychiatrists and Psychologists Authors: The Situationist Staff Tags: Situationist Contributors Situationist Sports Source Type: blogs