Research and Reviews in the Fastlane 147
In this report two cases where a new method for removing encircling objects from the penis using a ordinary condom was applied. The article in danish with a short abstract, but sufficient self explanatory images are provided. Recommended by Soren Rudolph Resuscitation Laina A et al. Amiodarone and cardiac arrest: Systematic review and meta-analysis. Internat J Cardiol 2016; 221: 780-8. PMID: 27434349 Amiodarone is dead in the dead! The recent ALPs trial in the NEJM grabbed headlines showing that there was no difference in survival to discharge in OHCA patients who got amiodarone versus lidocaine versus placebo. This s...
Source: Life in the Fast Lane - August 17, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine R&R in the FASTLANE Resuscitation Toxicology and Toxinology Trauma EBM literature recommendations research and reviews Source Type: blogs

LITFL Review 244
Welcome to the 244th 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 chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week A gold, silver, and bronze performance in one week. An epic non-clinical focus three-for from Don’t Forget the Bubbles: The impacts of bullying on kids; A call for action against asylum seeker abuse on Nauru; and the effect of adults bullying i...
Source: Life in the Fast Lane - August 14, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

TechTool Thursday 069 Blrt – talk, point and draw
TechTool review – Blrt – talk, point, draw, and collaborate on iOS Blrt allows you talk, point and draw over images and websites. You can share your Blrts with your colleagues for them to comment. It’s potentially perfect for online learning. Website: – iTunes – Facebook – Twitter – Website Design The app looks good and is nice to play around with. It has an eye-catching colour scheme and is mainly intuitive to use. There are, however, a few teething problems and the app did crash on me multiple times. I had a problem signing up initially, as I didn’t seem to receive an email to ve...
Source: Life in the Fast Lane - August 10, 2016 Category: Emergency Medicine Authors: Tessa Davis Tags: Review Tech Tool Video Web Culture App Blrt draw iOs techtool Source Type: blogs

Research and Reviews in the Fastlane 146
This study looked at the 111 (19%) that had an isolated fat pad (anterior sail sign and/or posterior fat pad) but no other injuries seen on the x-ray. The standard practice for these patients was an elastic bandage and a sling, with orthopaedics follow-up in 1 week. (Where I work, children generally get a plaster splint, as we are concerned about occult supracondylar fractures.) At the 1 week follow up, there were no significant injuries identified, although they did not routinely get follow-up x-rays. Only 1 patients was transitioned to a cast because of ongoing pain. Unfortunately, they did lose 17% of the patients to fo...
Source: Life in the Fast Lane - August 10, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Orthopedics Pediatrics R&R in the FASTLANE Trauma EBM literature recommendations research and reviews Source Type: blogs

JellyBean 045 with Andrew Tagg
Worse things happen at sea. A charming man. A dapper chap. An adventurous fellow. It’s @andrewjtagg from DFTB in one of the funnier Jellybeans Have you ever wondered what it would be like to be the Medic on one of those big cruise ships that sail around the world in an endless summer filled with wealthy people that do not have many summers left? There is a reason that cruise ship doctor has a certain ring to it. It has a certain melodramatic potential. I think it’s because of the uniform. And the sex. Apparently there is an awful lot of sex. If Andrew were to write a FOAMed blog about being the ships doctor it might b...
Source: Life in the Fast Lane - August 10, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Andrew Tagg DFTB Source Type: blogs

LITFL Review 243
Welcome to the 243rd 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 chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week EM Nerd Rory Spiegel gives us statistical non-nerds an excellent and important education in descriptive statistic in a case of central tendencies. [SO]   The Best of #FOAMed Emergency Medicine Ketofol or Propofol for procedural sedation i...
Source: Life in the Fast Lane - August 7, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

JellyBean 044 with Kat Evans and BADEM
Jellybean Two for One Deal. @Kat__Evans shares two interesting stories; #FOAMed in the resource poor world and the BADEM website a very personal story about what happens when your mum gets “proper sick” on the other side of the world. (I know I have had to think about that. Maybe you have too?) It turns out that access to Level One trauma centres, REBOA, Specialist Stroke Centres or even 24hr Cardiac Cather Labs are not available everywhere. (No, really, it’s true.) Kat Evans doesn’t have them in the Western Cape. We all know of South Africa and the problems that exist there. The levels of violence in some very...
Source: Life in the Fast Lane - August 4, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean BADEM Baragwanath BOGOF FOAMed Kat Evans REBOA Western Cape Source Type: blogs

Research and Reviews in the Fastlane 145
Welcome to the 145th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R ...
Source: Life in the Fast Lane - August 4, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Pediatrics R&R in the FASTLANE Resuscitation EBM literature recommendations research and reviews Source Type: blogs

Extinguishing Medical Errors with Oil and Gas
Unfortunately for patients and healthcare workers alike, medical errors happen. No matter how well-trained and experienced the practitioner, underneath the scrubs there still resides a human and errors will follow. However, systems can be put in place to minimise them and medicine could do well to learn lessons from other industries. In 2012, there were 107 serious medical errors in Australian hospitals. These ranged from surgery performed on the wrong patient or body part, to surgery where instruments were left inside the patient, to medication errors and in-hospital suicides 1. When considered in the context of the 53 mi...
Source: Life in the Fast Lane - August 3, 2016 Category: Emergency Medicine Authors: Tane Eunson Tags: Administration Medical Errors atul gawande O&G oil and gas industry Source Type: blogs

LITFL Review 242
Welcome to the 242nd 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 chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Andrew and the DFTB guys write a touching tribute to Kate Granger.  #hellomynameis has changed the world.  Rest in Peace Kate. [CC]     The Best of #FOAMed Emergency Medicine A great episode from emcrit on the management of euvolaem...
Source: Life in the Fast Lane - July 31, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Better people make better doctors
What does society expect of today’s doctor? More importantly, what does today’s doctor expect of themselves? How can we become better doctors? An overview with Tane Eunson The expectations modern society places on doctors are explored in the ‘good samaritan’ case of Dekker vs Medical Board of WA, where a doctor was called to account for ‘improper conduct in a professional respect’ when she didn’t stop to lend urgent medical assistance at a motor vehicle accident. This post examines how today’s doctors are judged with respect to ‘professionalism’ and how those notions have changed over time. It is th...
Source: Life in the Fast Lane - July 28, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Arcanum Veritas better doctors Better people Tane Eunson Source Type: blogs

Research and Reviews in the Fastlane 144
Welcome to the 144th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R ...
Source: Life in the Fast Lane - July 28, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Education Intensive Care Neurology R&R in the FASTLANE EBM Emergency Medicine literature recommendations research and reviews Source Type: blogs

JellyBean 043 Paramedic Michael Stanley
Alternative Career. Alternative Energy. Alternative Jellybean Podcaster. Matt MacPartlin (@RollCageMedic) interviews a paramedic who has a odd view of the world especially when he is at work. Alternative careers and alternative energy. So you’ve completed your training. The world is ready for you. It has a plan for you. It has a lifelong career path lined up for you. Do you want it? Sign up now, get those mortgage payments started and start saving for retirement? Or do you want to go and do something a bit different. Something alternative? Michael Stanley ( @CRM_saves_lives ); a paramedic that has left the Ambulance, le...
Source: Life in the Fast Lane - July 26, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Michael Stanley Paramedic Source Type: blogs

Who wants to speak at dasSMACC?
smaccDUB is dead, long live dasSMACC! Planning for DasSMACC is well underway and we already have a strong picture of how it will unfold. However, we are always open to new ideas and suggestions… though we also reserve the right to ignore them! Things will be different at DasSMACC. For the first time, the main 3-day SMACC conference will be entirely one single track. In other words, there will not be any concurrent talks. This means that anyone who stands on stage needs to be prepared to give the talk of their life in front of a crowd of nearly two-and-half-thousand people in an imposing venue: the amazing Tempodrom. We ...
Source: Life in the Fast Lane - July 25, 2016 Category: Emergency Medicine Authors: Chris Nickson Tags: Conference Education SMACC dasSMACC form speaker suggestions speakers topics workshops Source Type: blogs

LITFL Review 241
Welcome to the 241st 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 chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Rob Mac Sweeney’s Critical Care Reviews will showcase upcoming trials of interest in critical care. Its inaugural podcast is on Paul Young and the ICU-ROX trial. [SO]   The Best of #FOAMed Emergency Medicine The Core EM Podcast reviews t...
Source: Life in the Fast Lane - July 24, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs