LITFL Review 232
Welcome to the 232nd 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
Cliff Reid offers an amazing reflection on training, stress exposure and pushing one self to achieve even in the face of defeat. [AS]
Nadim Lalani writes one of the most incredible pieces I have ever read on courageous collegiality in medicine, a...
Source: Life in the Fast Lane - May 22, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V Source Type: blogs
Funtabulously Frivolous Friday Five 146
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 146
Question 1
What was James Lind famous for (clue = physician in the Royal Navy)?
+ Reveal the Funtabulous Answer
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He conducted the first ever clinical trial.
Lind thought scurvy was due to putrefaction of the body and could be cured by acids. 2 months into a trip at sea, 12 sailors became ill. He split them into...
Source: Life in the Fast Lane - May 20, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five cadaverous poisoning clinical trial Dr Semmelweis female physician James Barry James Lind leeches puerperal fever scurvy scybalum streptococcus progenies Source Type: blogs
PEM Guides Online
This month sees the release of two new eBooks for brushing up on your Paediatric Emergency Medicine Skills. Both of these eBooks are a truly great addition to your PEM reference resources. They are both free and there’s no excuse not to have them handy on your mobile.
PEM Guides 2.0 by NYU Langone Medical Center
Website – iBooks
“PEM (Pediatric Emergency Medicine) Guides was developed as a point of care resource in our pediatric emergency departments at Bellevue Hospital Center and NYU Langone Medical Center. The PEM Guides focus on the essential diagnostic, treatment and disposition decisions. – Micha...
Source: Life in the Fast Lane - May 19, 2016 Category: Emergency Medicine Authors: Tessa Davis Tags: Book Review Tech Tool Web Culture Langone Medical Center NYU pediatric emergency medicine PEM Guide Source Type: blogs
Research and Reviews in the Fastlane 135
Welcome to the 135th 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 - May 18, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Disaster Education Emergency Medicine Intensive Care Neurology Pediatrics Pre-hospital / Retrieval Respiratory Resuscitation critical care R&R in the FASTLANE recommendations research and reviews Source Type: blogs
Australian Anaphylaxis amplification
Anaphylaxis is increasingly common. The patient population death rate for anaphylaxis is Australia in 2013 was over double that reported in the UK
Dr Ray Mullins, an allergist in Canberra, and colleagues from Sydney and Singapore have recently reported an increase in in the number of anaphylaxis fatalities in Australia. This is currently trending towards a 3 fold increase in anaphylaxis deaths over the study period of 15 years. Mullins and colleagues had previously identified a rise in the rate of all food allergy, with the most dramatic effect in young childhood food where hospital admission analyses showed a 50...
Source: Life in the Fast Lane - May 18, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Clinical Research Education Immunology allergy Anaphylaxis EpiPen mastocytosis Ray Mullins Source Type: blogs
LITFL Review 231
Welcome to the 231st 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
Paul Marik, critical care legend, takes on lactate in this incredible podcast from the Intensive Care Network. My brain is still recovering. [SO]
The Best of #FOAMed Emergency Medicine
Rory Spiegel delves into the intricacies of non-infe...
Source: Life in the Fast Lane - May 15, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Sitting on the Couch, Talking Evolution
I’m seated here, in upholstered comfort, with two questions. The couch is a dreadful, shameless pun, which I will explain in a moment. The questions though, are real.
Both questions relate to the relevance of evolution in emergency medicine. The first is how does our current understanding of evolution help us be better clinicians? The second question is what do we not yet know? Or, in other words, what is the depth of our ignorance? (Please don’t answer that. It is a rhetorical question*).
Evolution. To briefly recap the last three and a half billion years (give or take), it started when a few basic molecules chunked t...
Source: Life in the Fast Lane - May 15, 2016 Category: Emergency Medicine Authors: Michelle Johnston Tags: Literary Medicine antiphora apocrisis epiplexis epitemesis evolution qSOFA rhetorical question subjectio Source Type: blogs
JellyBean 033 with Anne Creaton
Bula!
So Anne Creaton is knee deep in Fiji.
Knee deep in another culture.
Knee deep in Government Bureaucracy.
Knee deep in the most beautiful water in the world.
What a woman!
I worked with Anne a few years ago when she helped start up the Ambulance embedded aeromedical service called Adult Retrieval Victoria in Melbourne.
That wasn’t hard enough for her. So she headed off to Fiji to try to bring some of what she had learned to the Pacific.
Now I don’t know what you know about Fiji. It is an incredibly interesting place with an incredibly interesting mix of people.I know that I don’t know enough about the history of...
Source: Life in the Fast Lane - May 14, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Anne Creaton Fiji Source Type: blogs
Funtabulously Frivolous Friday Five 145
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 145
Question 1
What is bendopnoea?
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Dyspnoea while bending forward
Bendopnoea is a novel symptom that was found in 28% of subjects with NYHA class III and IV heart failure. The pathophysiology appears to be increased filling pressures on bending without reducing the cardiac index.
It ...
Source: Life in the Fast Lane - May 13, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five acnestis bendopnoea cucumber FFFF rubin manoeuvre shoulder dystocia tardieu spots Source Type: blogs
Research and Reviews in the Fastlane 134
This article is a large, population-based, retrospective cohort of adults > 65 years of age. It compares those who were prescribed a macrolide with those prescribed a non-macrolide antibiotic looking at the primary outcome of a presentation for a ventricular dysrhythmia at 30 days and a secondary outcome of all-cause mortality at 30 days. They found no difference. While it’s a suboptimal study methodology, this is further evidence that we need not fear these complications. But, this shouldn’t stop us from restricting treatment to only those who need it (i.e. don’t prescribe a Z-pack for a URI).
Recomme...
Source: Life in the Fast Lane - May 11, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Administration Clinical Research Education Emergency Medicine Intensive Care critical care R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs
LITFL Review 230
Welcome to the 230th 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
The Australian and New Zealand College of Anaesthetists have uploaded some talks from their recent ASM. Listen to Anil Patel talk on THRIVE (think NODESAT on steroids!), Stuart Marshall talk on Human Factors in airway management, and Helen Kolaw...
Source: Life in the Fast Lane - May 8, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
#SAEM16 panels
SAEM's Annual Meeting is in New Orleans this year. While a lot has changed since San Diego, I'm fortunate to again be participating in several didactic sessions this week. The program is available online - links to slides are forthcoming. Tuesday @ 1:45pm or so in Napoleon Ballroom C2 (3rd floor): As part of the Social Media Bootcamp, I'll be talking with Megan Ranney about using Social Media for research - slidesThursday @ 8am in Napoleon Ballroom B2 (3rd floor): DS-22: I'll speak about conducting EM research using social media tools, in a panel with Megan Ranney & Austin Kilaru - slides&...
Source: Blogborygmi - May 8, 2016 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Ucem osce scenario
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 a medical student who would like you to teach them about a blood gas that they have taken from a patient they have seen in the ED. You notice them to be exhibiting signs...
Source: Life in the Fast Lane - May 8, 2016 Category: Emergency Medicine Authors: Joe Rotella Tags: Utopian Medicine F.UCEM OSCE Source Type: blogs
An unusual wrist injury
A 30 year old man attends the Emergency Department after injuring his right wrist. He was playing rugby and landed awkwardly during a tackle with his hand trapped underneath another player. On arrival he is complaining of significant pain in his right wrist with reduced movement in all directions.
Clinical Case Report
Examination:
Examination of the wrist reveals reduced movement in flexion and extension and significant pain on pronation and supination.
You notice a hollow where his ulna styloid normally sits on the dorsum of his wrist.
+ Show Clinical Image of wrist on arrival
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Source: Life in the Fast Lane - May 6, 2016 Category: Emergency Medicine Authors: Dan Stevens Tags: Clinical Case Education Orthopedics dislocation DRUJ relocation Trauma Volar Distal Ulnar Dislocation wrist injury Source Type: blogs
Funtabulously Frivolous Friday Five 144
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 144
Question 1
What do Inuits avoid eating that early Europeans didn’t ?
+ Reveal the Funtabulous Answer
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Polar bear liver, but also any liver from the top predators in the arctic region as they can store high levels of vitamin A.
In 1957 Gerrit de Veer was taking refuge in Nova Zemlya recorded the effects...
Source: Life in the Fast Lane - May 6, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five baby sex congenital syphilis Hutchinson's triad hypervitaminosis A Ludwig's Angina Polar bear liver varicose veins Source Type: blogs
