LITFL Review 219
Welcome to the 218th 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
Is enhanced cardiopulmonary resuscitation (ECPR) a step too far? Listen to this great debate between two heavyweights from SMACC Chicago. [SO]
The Best of #FOAMed Emergency Medicine
Anna Pickens puts together a great 5 minute video on th...
Source: Life in the Fast Lane - February 15, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
smaccBYTE and The Golden Tickets
SMACCDUB has sold out. Over 3 staggered releases, tickets were on sale for only about 24 hours before they were all gone.
There are still ways to get there though.
You can enter the SMACC BYTE competition. Summarise your favourite SMACC talk in a single slide or infographic and be in to win. Check out these examples. Entries close on close on Thursday, 10 March 2016 and the winners will be announced soon after on St. Paddy’s Day.
Failing that, you can enter the auction for two SMACC DUB ‘Golden Tickets‘. The winners will be true SMACC VIPs, with deluxe front row armchair seats, a personal butler, ticke...
Source: Life in the Fast Lane - February 13, 2016 Category: Emergency Medicine Authors: Chris Nickson Tags: SMACC SMACC BYTE SMACC DUB SMACC GOLDEN TICKET Source Type: blogs
Funtabulously Frivolous Friday Five 135
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…introducing Funtabulously Frivolous Friday Five 135
Question 1
What was the cause for the most fatalities at Pearl Harbour?
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NOT Thiopental (but the initial trauma or delayed hemorrhagic shock)
It has been a popular myth that Thiopental caused more deaths than the initial trauma but of the 344 patients admitted to the Tripler Army Hospi...
Source: Life in the Fast Lane - February 12, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Aluminium Anaesthetics Buddy Ebsen FFFF Heidelberg Electric Belt impotence Kehr's sign pearl harbour Princess Diana pulmonary vein splenic rupture thiopental thoracotomy Source Type: blogs
Research and Reviews in the Fastlane 121
This article discusses a series of cases where fluids and medications were administered through a rectal catheter (Macy catheter) instead of via more traditional routes. The authors conclude that the successful management of the 3 included patients suggests that the device “may be an appealing alternative route.” I have a hard time believing that IV should be avoided in favor of rectal “access” or that IO sites are ever unavailable in patients with difficulty IV access.
Recommended by Anand Swaminathan
Emergency medicine
Choo EK et al. Managing Intimate Partner Violence in the Emergency Departmen...
Source: Life in the Fast Lane - February 10, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Airway Anaesthetics Education Emergency Medicine Pediatrics Psychiatry and Mental Health R&R in the FASTLANE Resuscitation critical care recommendations research and reviews Source Type: blogs
A better way to think about Altered Mental Status
I recently had occasion to prepare a talk on the various causes of Altered Mental Status. As it happens, EM:RAP had a nice Continuous Core Content segment recently on the same topic. (Don't listen to EM:RAP? You should. Want to try it for free? Rob Orman of ERCast has an offer for a three month free trial. Use the code ERTHANKS.)* They used a practical case-based format to structure the approach, which I like, but also fell back on the old mnemonic of AEIOU TIPS. God I hate that mnemonic. It's so haphazard and utterly disorganized: just like the typical approach to AMS.A ...
Source: Movin' Meat - February 9, 2016 Category: Emergency Medicine Source Type: blogs
LITFL Review 218
Welcome to the 218th 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 “The Machine” Mac Sweeney of Critical Care Reviews has published his 2016 book reviewing the top 30 articles of 2015. Originally given to the delegates at the CCR 2016 meeting, it’s now free- and breaks down key papers in incredible det...
Source: Life in the Fast Lane - February 7, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 134
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…introducing Funtabulously Frivolous Friday Five 134
Question 1
You do a ketamine sedation and the patient develops laryngeal spasm. What physical manoeuvre can you preform to try and resolve the laryngeal spasm while the nursing staff draw up a paralytic?
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Larson’s point or the ‘laryngospasm notch’ [Reference]. Accordi...
Source: Life in the Fast Lane - February 5, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five coffee FFFF fox's sign Hammon's crunch larson's point pancreatitis Source Type: blogs
TechTool Thursday 067 MedShr
TechTool review – MedShr by MedShr Ltd on Android and iOS…and website
MedShr is a private social network for doctors. It aims to allow the sharing of interesting patients including photos/videos. Members can discuss their cases and ask for suggestions from others. It aims to help improve clinical practice and facilitate learning and the sharing of patient data in a secure environment.
The website gives no information about who runs MedShr (a bug bear of mine) but I know from speaking to them that it was created initially by a Cardiologist in the UK. I think they have brought in other UK clinicians to help edit...
Source: Life in the Fast Lane - February 4, 2016 Category: Emergency Medicine Authors: Tessa Davis Tags: Review Social Media Tech Tool Web Culture android App iphone MedShr social network social network for doctors techtool Source Type: blogs
Research and Reviews in the Fastlane 120
Welcome to the 120th 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, 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 project or check ou...
Source: Life in the Fast Lane - February 3, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Clinical Research Education General Surgery Ophthalmology Pediatrics Pharmacology Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Trauma critical care emergency Emergency Medicine recommendations resea Source Type: blogs
LITFL Review 217
Welcome to the 217th 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
How do we reach deep within to find empathy when we feel at our worst? By remembering the other side of the story, writes Phil Berry in his blog.“The trick at such times is to access the human in ourselves” [SO]
The Best of #FOAMed Em...
Source: Life in the Fast Lane - January 31, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 133
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…introducing Funtabulously Frivolous Friday Five 133
Question 1
Why do onions make you cry?
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Propanethiol S-oxide
When you cut an onion, separate enzymes start mixing and produce propanethiol S-oxide, which is a volatile sulphur compound. The gas that is emitted reacts with the water of your eyes and forms sulphuric acid. The sulphu...
Source: Life in the Fast Lane - January 29, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five erysipelas FFFF fish sperm Hamptons hump heparin onions propanethiol S-oxide protamine pulmonary embolism St Anthony's Fire Source Type: blogs
TechTool Thursday 066 MAP+EM
TechTool review – MAP+EM by Eola Holdings on iOS and Android
MAP+EM (Manage and Prescribe Emergency Medicine) aims to deliver your local hospital guidelines and prescribing policies in one easy-to-find place on your phone. It has been developed by three junior doctors in the UK.
Website: – iTunes – Google Play – Website
Design
Their website is lovely for a start, and gives a really clear overview of their aims and what the app offers. I don’t normally comment on app names, but I’m not sure why they chose the name MAP+EM. Their guidelines are for the whole hospital, not just the Emergency...
Source: Life in the Fast Lane - January 28, 2016 Category: Emergency Medicine Authors: Tessa Davis Tags: Review Tech Tool diary MAP EM roster techtool Source Type: blogs
Research and Reviews in the Fastlane 119
This study examines the dose-relationship of oxygen therapy and infarct size assess by biomarkers. Excluding hypoxic patients and those with cardiogenic shocks 441 patients with STEMI were randomized to oxygen or room air. Every 100 L increase in oxygen exposure in the first 12 h was associated with significantly increased cTnI and CK of 1,4% and 1,2% respectively.
As the median supplemental oxygen exposure was 1746 L this would result in a 21% increase in infarct size.
Recommended by: Soren Rudolph
Quirky, weird and wonderful
Wood CD et al. Evaluation of sixteen anti-motion sickness drugs under controlled laborato...
Source: Life in the Fast Lane - January 27, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Airway Anaesthetics Cardiology Education Emergency Medicine Gastroenterology Intensive Care Neurology Pre-hospital / Retrieval R&R in the FASTLANE Respiratory Resuscitation Toxicology Toxicology and Toxinology critical care r Source Type: blogs
LITFL Review 216
Welcome to the 216th 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
All the talks from the recent UK Intensive Care Society Conference State of the Art Conference have been made freely and open accessible via the web site or by subscription via iTunes. A true smorgasboard of intensive care content, ...
Source: Life in the Fast Lane - January 24, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V Source Type: blogs
Funtabulously Frivolous Friday Five 132
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…introducing Funtabulously Frivolous Friday Five 132
Question 1
What is the Asboe-Hansen sign, seen in toxic epidermal necrolysis (TEN)?
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The Asboe-Hansen sign (also known as “indirect Nikolsky sign”or “Nikolsky II sign”) refers to the extension of a blister to adjacent unblistered skin when press...
Source: Life in the Fast Lane - January 22, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Asboe-Hansen Sign FFFF flu le fort plasters Pterygium Source Type: blogs
