Research and Reviews in the Fastlane 133
This study certainly suggests a benefit to using Dexmedetomidine in these patients.
Recommended by: Nudrat Rashid
The Best of the Rest
Emergency Medicine
Beadle KL et al. Isopropyl alcohol nasal inhalation for nausea in the Emergency Department: A randomized controlled trial. Ann Emerg Med. 2015. PMID: 26679977
This is a small double-blinded RCT comparing inhaled isopropyl alcohol to saline placebo for short-term relief of nausea in the ED. Although it is hard to believe patients (and possibly investigators) were truly blinded to the odor of isopropanol, this study found isopropanol superior to placebo for improvement...
Source: Life in the Fast Lane - May 4, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education Emergency Medicine Intensive Care Neurology Neurosurgery critical care examination R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs
Blog Birthday? Nearly missed it!
So, I still have the blog, though those of you in the know are following me over on Twitter where my writing and attention span really shine in 140 characters.
Still in a weird place professionally, in that ‘things are happening’ and yet writing about it is Verboten.
So, 14 years of a blog. Yeah, i have shoes older, but I’m enjoying having it even if I’m not busy here.
Thanks to the seven of you.
Related posts:
Happy Birthday Dad! Thanks for not killing me all those years ago....
Happy Birthday to our youngest, latest in a series (and an Aunt!) Happy Birthday, sweetheart! We wish you all the best...
Source: GruntDoc - May 3, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs
LITFL Review 229
Welcome to the 229th 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
Simon Carley and Robert Lloyd have an amazing podcast discussing resilience, mindfulness, stress innoculation, procedural expertise, and more as Robert shares his story of being an Englishman in South Africa. [SO]
The ESICM-led Trauma 2016 confere...
Source: Life in the Fast Lane - May 1, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Global Drug Reference Online – Global DRO
The Global Drug Reference Online (Global DRO) provides athletes and support personnel with information about the prohibited status of specific medications based on the current World Anti-Doping Agency (WADA) Prohibited List. Global DRO does not contain information on, or that applies to, any dietary supplements.
The new, updated and readily accessible website for Global DRO is found here:
http://www.globaldro.com/Home
The Global DRO allows users to search for specific information on products sold in the United Kingdom, Canada, the United States, Japan and Australia. The Global DRO provides the same critical information ...
Source: Life in the Fast Lane - April 29, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Sports Medicine ASADA Global DRO Therapeutic Use Exemption TUE WADA Source Type: blogs
Research and Reviews in the Fastlane 132
This article reviews 10 myths about the UA and UTIs. A common theme that permeates the article is that an abnormal UA is not diagnostic of a UTI: symptoms must be present as well since a significant portion of patients will have chronic colonization. A good lesson to keep in mind the next time you work clinically.
Recommended by: Anand Swaminathan
Emergency Medicine, Neurology
Friedman BW et al. The association between headache and elevated blood pressure among patients presenting to an ED. The American journal of emergency medicine. 32(9):976-81. 2014. PMID: 24993684
More data that BP & HA aren’t related. ...
Source: Life in the Fast Lane - April 29, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Gastroenterology Neurology Pediatrics Psychiatry and Mental Health R&R in the FASTLANE EBM literature recommendations research and reviews Resuscitation Source Type: blogs
Funtabulously Frivolous Friday Five 143
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 143
Question 1
What is Fagan famous for in evidence-based medicine (nothing to do with Oliver Twist)?
+ Reveal the Funtabulous Answer
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The Fagan nomogram converts pre-test porbabilities into post-test probabilities using the likelihood ratio for any given test.
Question 2
What do a sloth bear and local peop...
Source: Life in the Fast Lane - April 29, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five airway Fagan nomogram Guedel hyperthyroidism Jod-Basedow phenomenon King George the second Madhuca flowers pericardial tamponade twin lannister Wolf-Chaikoff effect Source Type: blogs
Tox Tute 001 Tricyclic Antidepressant Overdose
A young male is unconscious and on his way to your hospital. Bystanders confirm he has been depressed and taken an overdose. The paramedics are worried about his ECG…”it looks weird and his QRS is very wide”. The following tox tute will guide you through managing this patient.
ECG on arrival
Tox Tute TCA Basic
+ Tox Tute AUDIO – TCA Overdose – Quick Version
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Tox Tute TCA Advanced
+ AUDIO TCAs Overdose
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Source: Life in the Fast Lane - April 27, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Tox Tutes TCA TCA overdose TCAs toxicology tricyclic antidepressant Tricyclic Antidepressant Overdose Source Type: blogs
JellyBean 032 with Ashley Liebig
Fear, Flight, Fight.
Ashley Liebig is a Screaming Eagle.
So at SMACC Chicago you had a 101st Airborne Division Medic talking about feelings.
SMACC Star Ashley Liebig, now a Texan Flight Nurse rocked one of the Pre-SMACC US Workshops with a difficult subject, talking about dealing with critical events as a human inside a big & nasty world.
Ashley was also one of the Conference Organisers and did a lot to get the show on the road.
This is the first of 4 guest interviewer Jellybeans. I want to thank my friend and countryman Matt McPartlin ( aka @RollCageMedic ) who, like Ashley, has been instrumental in a lot of pretty co...
Source: Life in the Fast Lane - April 27, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Ashley Liebig flight nurse SMACC Source Type: blogs
Expedition and Wilderness Medicine
Guest post Dr Edi Albert – Associate Professor, Remote and Polar Medicine at the University of Tasmania. Director, Wilderness Education Group
These two nearly synonymous terms refer broadly to the practice of medicine in austere and remote environments. The former term suggests a “journey with a purpose”, whether scientific, humanitarian, or recreational. The latter terms suggests an environment “undisturbed by human activity”. Either way, a pretty cool way to practice medicine.
It is within this context that we can identify three broad aspects to expedition and wilderness medicine: pre-departure preparation ...
Source: Life in the Fast Lane - April 25, 2016 Category: Emergency Medicine Authors: Sean Rothwell Tags: Medical Specialty Wilderness Medicine adventure adventure medicine Curriculum Dr Bill Lukin Dr Edi Albert Dr Julian Williams Dr Sean Rothwell remote Source Type: blogs
LITFL Review 228
Welcome to the 227th 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
Another awesome post on Dr Smith’s ECG blog. A must for anyone who sees patients with chest pain. [CC]
The Best of #FOAMed Emergency Medicine
An awesome review from Ken Milne and our own Salim Rezaie talking nerdy about a recent paper on HE...
Source: Life in the Fast Lane - April 24, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 142
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 142
Question 1
We’ve all heard of Occam’s Razor but what is Hickam’s Dictum or the Anti-razor?
+ Reveal the Funtabulous Answer
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A patient can have as many diseases as they damn well please.
Occam’s razor can be paraphrased ‘when investigating a patient with multiple symptoms, a single uni...
Source: Life in the Fast Lane - April 22, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five abarognosis anti-razor Crabtree's bludgeon hickam's dictum life expectancy occam's razor Rene Laennec Stethoscope Source Type: blogs
Research and Reviews in the Fastlane 131
This study only shows an association and not causality and will need further prospective studies to elucidate the truth. However, in the absence of better evidence, either agent appears reasonable as the first line but rocuronium has a number of advantages (absence of contraindications, longer paralysis).
Recommended by: Anand Swaminathan
Read More: Does Succinylcholine Increase Mortality in Severe TBI Patients? (UMEM Education Pearls), Rocuronium vs. Succinycholine (Core EM)
The R&R iconoclastic sneak peek icon key
The list of contributors
The R&R ARCHIVE
R&R Hall of famer You simply MUST READ th...
Source: Life in the Fast Lane - April 20, 2016 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Cardiology Education Emergency Medicine Gastroenterology Intensive Care LITFL Neurology Pre-hospital / Retrieval Resuscitation EBM literature R&R in the FASTLANE recommendations research and reviews Source Type: blogs
LITFL Review 227
Welcome to the 227th 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 old and new titans of critical care Paul Marik and Rob MacSweeney throw down over the futility of predicting fluid responsiveness in resuscitation. [JS]
Natalie May provides a thought-provoking post looking at our polarised perspectives in th...
Source: Life in the Fast Lane - April 17, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Super Docs 2.0
Guest post by Tane Eunson – A student of the game (6th year M.B.B.S.)
As the plane descended over the Southern Alps and through the Canterbury Plains, making it’s way east to the Pacific Ocean like the Waimakariri, I couldn’t help but feel excited to be returning home. Home being the shaky isles of New Zealand and my six-week medical elective being in the particularly shaky city of Christchurch.
The Waimakariri River, Canterbury, NZ. December 10th, 2015
Although Perth has been my new home since 2007, I spent the four years prior to that gaining my undergraduate degree in Christchurch; four years which I look back...
Source: Life in the Fast Lane - April 15, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Sports Medicine crusaders Dr Deb Robinson elective rugby Tane Eunson Waimakariri Waimumu Wiremu Source Type: blogs
Funtabulously Frivolous Friday Five 141
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 141
Question 1
Who ran the first sub-4 minute mile while practising as a junior doctor?
+ Reveal the Funtabulous Answer
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Roger Bannister.
He achieved this feat on 6 May 1954 at Iffley Road track in Oxford, UK.
When the announcer declared “The time was three…“, the cheers of the crowd drowned out B...
Source: Life in the Fast Lane - April 15, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five auspitz sign emunction paracelsus psoriasis roger bannister toxicology Witzelsücht Source Type: blogs
