JellyBean 060 Dave Hartin and the Tayto
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Ready for a laugh? We take two fast-talking and sleep-deprived Irish people and lock them in a shed. They talk. Fast. They tackle the big issues. From Nursing Home Patients in Emergency Departments to the great Sectarian Potato Snack debate. (Try to guess who had had coffee and who hadn’t.) Dave Hartin is from Northern Ireland (pronounced “Norn Iron”) and from East Anglia too. (Funny accent squared.). Ipswich seems to have a bit going on. They arranged for a stall at the...
Source: Life in the Fast Lane - May 10, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Dave Hartin Tayto Source Type: blogs

RESCUEicp and the Eye of the Beholder
This reported finding might not be as straightforward to interpret as initially presented. While there are a number of scales available to assess outcome in patients after TBI3 the extended Glasgow Outcome Scale (GOSe) is the most commonly utilised. The conventional assessment of outcome after TBI has defined as “favourable” if there is full independence at 6 months (GOSe grade 5-8) and unfavourable ((GOSe grade 1-4) if there is death or severe disability. The dichotomized reporting of patients as having “favourable” or “unfavourable” outcomes depends upon the “dichotomization point” chosen.  The RESCUEicp...
Source: Life in the Fast Lane - May 9, 2017 Category: Emergency Medicine Authors: Chris Nickson Tags: Intensive Care Neurosurgery Alistair Nichol Decompressive craniectomy DECRA NEJM new england journal of medicine RESCUEicp TBI traumatic brain injury Source Type: blogs

Waiting Room Neurology • UCEM
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Last update: May 9, 2017 @ 9:59 am The Utopian College of Emergency for Medicine (UCEM) is devoted to keeping up with the latest evidence, techniques and iOS updates to ensure that waiting room medicine is at the forefront of critical care applied within the adverse environments of war zones, natural disasters and public hospitals. In an effort to combat that most pertinacious of symptoms ‘the chronic headache‘ – UCEM have scoured all the available information ...
Source: Life in the Fast Lane - May 9, 2017 Category: Emergency Medicine Authors: Tom Cassidy Tags: Neurology Utopian Medicine chronic headache iWR SPGB sphenopalatine ganglion block UCEM Waiting Room Medicine Source Type: blogs

LITFL Review 281
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 281st 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 14th Critical Care Symposium was held last week in Manchester, featuring amazing speakers such ...
Source: Life in the Fast Lane - May 7, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Funtabulously Frivolous Friday Five 188
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 188. Question 1 Churchill claimed to have been cured of depression (or his “black dog”) by a doctor. Churchill wrote about this with some excitement in a letter to his wife, Clementine: “I think this man might be useful to me – if my black dog returns. He s...
Source: Life in the Fast Lane - May 5, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five angioma racemosum arthritis black dog cannabalism Compound E cortisone Jendrassik manoeuvre koro kuru Nicoladoni reflexes speed Winston Churchill Source Type: blogs

Research and Reviews in the Fastlane 180
This article reviews lavage cases called in to a state poison center and finds that while numbers are down, many of the ones performed were inappropriate. Bottom line, better education needs to be done to stress when and where it’s useful. Ingestions within 60 minutes of presentation of enough drug to have a serious toxic effect and where there’s no available antidote should prompt consideration for lavage in conjunction with a toxicologist when possible. Recommended by: Anand Swaminathan Toxicology Nelson CJ et al. Morbidity and mortality associated with medications used in the treatment of depression: an ...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education General Surgery Infectious Disease Intensive Care Microbiology R&R in the FASTLANE Resuscitation Social Media Toxicology Toxicology and Toxinology critical care Emergency Medicine literature recommendations research a Source Type: blogs

Bully For You
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Guest post by Dr Andrew Tagg Six months ago Lt General David Morrison AO (Retd) came to talk to me, and the senior medical staff at my place of work, about the importance of culture of positivity in the workplace. If you’ve not heard of Morrison you’ve probably heard some of this speech. “The standard you walk past is the standard you accept” //www.youtube.com/watch?v=QaqpoeVgr8U As a hundred senior and not-so senior colleagues bowed their heads and no...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Mike Cadogan Tags: Bullying Guest Post ACEM workplace bullying Source Type: blogs

Ucem osce scenario 2017.1
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog After years of preparation, extensive reading, sleepless nights, marriage breakdowns and caffeine – your week of being show ponies has arrived as the F.UCEM examinations are upon us. Giving hope to those who pray to the Utopian FSM we have managed to locate and leak one of the OSCE examination questions for the upcoming exams – hope it helps. UCEM OSCE SCENARIO You are the ED Consultant in charge of a tertiary hospital ED You are approached by the red team night regi...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Utopian Medicine F.UCEM OSCE Source Type: blogs

GruntDoc ’ s Blog Birthday!
15 years! That’s more than 2/loyal reader (thanks, you seven!) May 2, 2002, a day that will live…on the internet, if nowhere else. Yes I’ve moved almost exclusively to Twitter, but the blog proved its worth earlier this year, so I’m obviously going to keep it up, and post here when I need to.   Thanks for reading. Related posts: Blog Birthday? Nearly missed it! So, I still have the blog, though those of you... Happy Birthday to the USMC! SemperFi I post this every year, and I still enjoy... Related posts brought to you by Yet Another Related Posts Plugin. (Source: GruntDoc)
Source: GruntDoc - May 2, 2017 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

Frankly my dear, I do give a damn
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: Paediatric Perplexity 016 An 18 month old girl is brought in by Gran after developing a very red rash over the last 2 days. She was seen by her GP a few days before with fevers, sore throat and lethargy and was diagnosed as a viral infection. However the rash then came up the following day and she seemed to deteriorate… What is the diagnosis? + Reveal Answer expand(document.getElementById('ddet656783326'));expand(document.getElementById('ddetlink656783326')) Scarle...
Source: Life in the Fast Lane - May 2, 2017 Category: Emergency Medicine Authors: Johnny Iliff Tags: Clinical Cases Pediatrics paediatric rash scarlet Source Type: blogs

JellyBean 059 with Ross Fisher FFolliet and P3 Design
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Pleasure or Pain? Presentations are a part of medical life. Everyone has to do them. They can be educational or awful. If you want your presentation to be better for your audience AND better for you then listen to what Ross Fisher has to say. You probably have something like a Wednesday afternoon education session at your place of work. You probably have to present at it sometimes. You probably do it pretty well. You may not feel that. You may be your own worst critic and see a...
Source: Life in the Fast Lane - May 2, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean FFoliet Inspiration p cubed presentations Ross Fisher Source Type: blogs

LITFL Review 280
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 280th 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 What does it take to give the greatest presentation ever? Ross Fisher discusses at SMACCDub. [AS] ...
Source: Life in the Fast Lane - April 29, 2017 Category: Emergency Medicine Authors: Anand Swaminathan Tags: LITFL review LITFL R/V Source Type: blogs

Funtabulously Frivolous Friday Five 187
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 187. Question 1 You’ve been asked to make a memorable talk. As you prepare you study SMACC and TED talks then your colleague advises you to research Giles Brindley. What did Giles Brindley do in 1983 to make his lecture memorable? + Reveal the Funtabulous Answer expa...
Source: Life in the Fast Lane - April 28, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five condom erectile dysfunction giles brindley hair inhaled foreign body olfactory sleep smallpox smell Source Type: blogs

JellyBean 058 with Kirsty Challen
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Half way down the stairs is the stair where we stop. To talk to a peer. About peers. About peer reviews. @RollCageMedic gets stuck into the fine print of the process of submitting your research to a major journal with EMJ Sub-Editor @KirstyChallen. I know next to nothing about Journals, Editing or Peer Reviewing. Kirsty Challen does. She is an Emergency Physician and an EMJ Sub-Editor. She talks to Matt McPartlin about the journal article review process and the debate surroundi...
Source: Life in the Fast Lane - April 27, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean clinical research EMJ Kirsty Challen peer review Source Type: blogs

LITFL Review 279
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 279th 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 An incredible talk from Tom Evens discussing how we train for the long game with a focus on margin...
Source: Life in the Fast Lane - April 23, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V Source Type: blogs