TechTool Thursday 065 Nerve Blocks
TechTool review – Nerve Blocks by C&S Publishing on iOS (iPhone and iPad) Nerve Blocks is an app providing guidance on delivering effective regional anaesthesia. It was created by two Australian anaesthetists and was originally the Regional Anaesthesia Pocket Guide, a well-thumbed copy of which sits on the shelf of every Emergency Department in Australia. The app is a modified version of the book, aimed internationally and adapted to include ultrasound guided techniques. Website: – iTunes – Website Design The design is not going to drive you wild with excitement, and particularly given its high price...
Source: Life in the Fast Lane - January 21, 2016 Category: Emergency Medicine Authors: Tessa Davis Tags: Education Review Tech Tool App iOs Nerve Blocks Source Type: blogs

Research and Reviews in the Fastlane 118
This study provides validation of that approach. Although the study was retrospective and only included 45 patients with acute coronary occlusion, it provides valuable information on the utility of ST elevation/S wave ratio for diagnosis of acute MI in this subset of patients. Recommended by: Anand Swaminathan Pediatrics Study of Maternal and Child Kissing (SMACK) Working Group. Maternal kisses are not effective in alleviating minor childhood injuries (boo-boos): a randomized, controlled and blinded study. J Eval Clin Pract 2015. PMID: 26711672 This is kind of interesting in many ways, it appears that the paper was...
Source: Life in the Fast Lane - January 21, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Anaesthetics Cardiology Clinical Research Education Emergency Medicine Haematology Intensive Care Pediatrics R&R in the FASTLANE Respiratory critical care EBM recommendations research and reviews Resuscitation Source Type: blogs

Antibiotics: Preserve the miracle?
The placebo effect is well-known in modern medicine. Unfortunately, the most effective medicines we’ve ever discovered are more often used as placebos rather than cures. What are these medicines? Antibiotics. They’ve added 20 years to the average human life expectancy, some would call this a “miracle”. In-fact “preserve the miracle” is the official slogan for Antibiotic Awareness Week. But it’s a word that carries some baggage, after all miracles don’t come with adverse consequences. Antibiotics, like other medicines have side-effects. In the patient these can range from allergies and Stevens-Johnson syndro...
Source: Life in the Fast Lane - January 20, 2016 Category: Emergency Medicine Authors: Jarrad Hall Tags: Immunology Infectious Disease Microbiology antibiotics Faustian bargain placebo resistance Source Type: blogs

EC50 and Spare Receptors
BSCC Pharmacology 003 Question: In relation to drug concentration and responses, what is the EC50 and what are spare receptors? Draw a dose response curve for an irreversible antagonist as the spare receptors become occupied. Examiner explanation: + Show: Drawing and explanation in real-time video/audio expand(document.getElementById('ddet1320909989'));expand(document.getElementById('ddetlink1320909989')) + Show Transcript expand(document.getElementById('ddet2102237374'));expand(document.getElementById('ddetlink2102237374')) In relation to drug concentration and responses, what is the EC50 and what are spare receptors?...
Source: Life in the Fast Lane - January 20, 2016 Category: Emergency Medicine Authors: Jason Scop Tags: Basic Science Pharmacology BSCC EC50 Spare Receptors Source Type: blogs

The Wilyman PhD
Our first child took a cruel week in dyin’ I’ve pulled three through, and buried two Since then- and I’m past carin’ Henry Lawson 1899 I would like to make an a priori apology: I am about to make a good number of you feel very old. I am currently one rotation away from becoming an emergency physician, yet in all my years of training I have never shepherded a drooling, toxic child, nestled in a parent’s arms, for a gaseous induction in theatre. My lack of airway experience in the setting of paediatric bacterial epiglottitis is an unanticipated but quite delightful side effect of the introduction of the HiB vaccin...
Source: Life in the Fast Lane - January 19, 2016 Category: Emergency Medicine Authors: Kristin Boyle Tags: Arcanum Veritas Education Soapbox anti-vaccination antivaccination Dunning-Kruger immunisation Judy Wilyman Petousis-Harris Wilyman PhD Source Type: blogs