To BPT, or not to BPT, that is the junior doctor ’s question …
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
As my graduating peers and I embark on our medical careers, it’s a fitting time to consider which medical careers we actually desire. I’ve always had a strong sense of direction for the specialty path I wish to pursue, but at times, like now, I flirt with the idea of pursuing other avenues. It is an important issue that deserves deliberate consideration as it’s what most of us will dedicate the lion’s share of our lives to.
Is being a “specialist in life” as a GP ...
Source: Life in the Fast Lane - February 21, 2017 Category: Emergency Medicine Authors: Tane Eunson Tags: Administration Medical career basic physician training BPT Source Type: blogs
Like a bridge over troubled waters
aka Cardiovascular Curveball 014
A 38yo man presented to ED with a 2 hour history of central crushing chest pain. His past medical history included haemochromatosis and a negative stress echo done one year ago following an episode of chest pain which the patient describes as different to the pain that bought him to the emergency department today.
An ECG is done:
Q1. Describe this ECG.
+ Reveal Answer
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The ECG demonstrates
underlying sinus rhythm with a rate of 75 bpm and normal axis.
antero-lateral ST elevation.
au...
Source: Life in the Fast Lane - February 20, 2017 Category: Emergency Medicine Authors: Tom Cassidy Tags: Cardiology ECG Investigation Acute MI BER bridge bridging cardiovascular curveball myocardial bridge STEMI Source Type: blogs
LITFL Review 270
Welcome to the 270th 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 chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Ashley Liebig delivers a powerful, poignant and thought provoking talk on the golden fleece, the golden hour and the golden rule. [AS]
The Best of #FOAMed Emergency Medicine
Moises Gallegos introduces a new mnemonic for the management options o...
Source: Life in the Fast Lane - February 19, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
JellyBean 054 Bits and Bumps with Dr Penny Wilson
Bits and Bumps on and off the road. The Nomadic GP has dropped anchor. After a serpentine route around some very beautiful locations Dr Penny Wilson has found a place to put down some roots. At least for a while. In Broome. And why not? It has been quite a journey so far involving fame and femininity, mis-quotes and misogyny, genitalia and generalism.
Twenty years of schooling and they put you on the day shift. And then some one says: “Sorry….. but are you really a doctor?”
Penny Wilson burst onto the scene a few years back when an article that she wrote on her NomadicGP blog hit a nerve. The nerve in question is ab...
Source: Life in the Fast Lane - February 15, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Bits and Bumps Dr Penny Wilson just a GP Source Type: blogs
LITFL Review 269
Welcome to the 269th 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 chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Rinaldo Bellomo delivers a mind-blowing talk on glycaemic control in the critically ill. A must listen. [SO]
The Best of #FOAMed Emergency Medicine
Can we use the d-dimer to rule out aortic dissection? First10EM + EMCases feature a deep dive in...
Source: Life in the Fast Lane - February 12, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 176
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 176.
Question 1
Piperazine was first introduced as an anti parasitic drug in 1953 but it has a side affect. What is ‘worm wobble’?
+ Reveal the Funtabulous Answer
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Cerebral Ataxia
The neurotoxic effects are usually seen after the initial doses, and resolution of symptoms is rapid and complete within 24...
Source: Life in the Fast Lane - February 10, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Albright's bezoar cerebral ataxia colchicine Hello Kitty Kallmann's meadow saffron Puberty Rapunzel Syndrome snakes Taiwan wobble worm Source Type: blogs
The STEM Programme
– Simulation Training in Emergency Medicine – has come to an end after 4 years on Queensland’s Sunshine Coast. Here is the story of child actors, fake blood, clingfilm, fire engines, Laerdal skin and imagination gone wild. The very best of simulation, task training, e-learning, videography – and cultural change. Enjoy the vid! And Vale STEM Programme!
The post The STEM Programme appeared first on LITFL: Life in the Fast Lane Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - February 9, 2017 Category: Emergency Medicine Authors: Jo Deverill Tags: Education Video e-learning simulation STEM Programme task training videography Source Type: blogs
Research and Reviews in the Fastlane 172
Welcome to the 172nd 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, Justin Morgenstern 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 out the full ...
Source: Life in the Fast Lane - February 9, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Emergency Medicine Intensive Care R&R in the FASTLANE EBM Education recommendations research and reviews Source Type: blogs
On becoming a doctor
This is a Guest post by Dr Akmez Latona as he enters advanced training in Emergency Medicine
At the age of 18, I left my family and home in Mauritius to study medicine. It has been eight years of persistence with ups and downs, pursuing a medical career and choosing to train in emergency medicine. I love emergency medicine. Here is a snapshot of why I love the field so much and why it pushes me to excel.
Last week I looked after a young man found by his parents unconscious at his home presumed secondary to a drug overdose. On arrival at hospital he was critically ill with persistent seizures. In the resuscitation room the ...
Source: Life in the Fast Lane - February 8, 2017 Category: Emergency Medicine Authors: Mike Cadogan Tags: Guest Post Akmez Latona Source Type: blogs
JellyBean 053 with Steve Mathieu and the Bottom Line
I have a critical information overload and a finite amount of brain space.
It feels like everything that goes in these days must force something else out. It is like a Grey Matter Flavoured Mr Whippy ice cream curling its way into a wafer cone. Mmmmmm.
Lets hope I don’t accidentally squirt out some really important stored information like Hutchinson’s Clinical Method, the Constitution of the United States of America or the birth of my daughter.
Call it the The Monro-Kellie-Lynch Doctrine.
If theres only so much space I had better only squish good stuff in there. I need help with this. I asked @stevemathieu75 from T...
Source: Life in the Fast Lane - February 6, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean mark crislip Steve Mathieu the bottom line Source Type: blogs
Emergency Medicine Ultrasound Groups (EMUGs)
This is a guest post on behalf of the EMUGs team
Emergency Medicine Ultrasound Groups (EMUGs) is a diverse group of Point-Of-Care Ultrasound (POCUS) enthusiasts and advocates who strongly believe that the utilisation of clinician performed POCUS in the Emergency Department improves care, optimises management and saves lives.
In just over two years we have organised 15 meetings across NSW, Victoria, Queensland, WA and NZ and brought together hundreds of POCUS users.
Our upcoming February meetings are based on the theme of
Point of care Ultrasound in Resource limited Environments (PURE).
The Clinical Leads in Ultrasound blo...
Source: Life in the Fast Lane - February 5, 2017 Category: Emergency Medicine Authors: Chris Nickson Tags: Emergency Medicine emergency medicine ultrasound groups EMUGs Source Type: blogs
LITFL Review 268
Welcome to the 268th 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 chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
The new Surviving Sepsis guidelines are out and Josh Farkas takes them to task for continuing to purport dogmatic teaching about sepsis care. [AS] Agree, important summary of sepsis myths in need of debunking [ML]
Rob “The Machine” Mac Sw...
Source: Life in the Fast Lane - February 5, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 175
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 175.
Question 1
A young woman presents with swelling of the lips and eyes, has a hoarse voice and shortness of breath. This came on after passionately kissing her boyfriend. Her past medical history is significant for penicillin allergy. What is a potential cause for her symptoms?
+ Reveal the Funtabulous Answer
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Source: Life in the Fast Lane - February 3, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five camel trauma epilepsy John Hughlings Jackson kissing lead poisoning Pituri Robert Bentley Todd saturnine gout Source Type: blogs
Research and Reviews in the Fastlane 171
This study’s methodology doesn’t allow it to put this question to rest but it gives us some insight into the question. The authors performed a retrospective before-and-after study (first 2 years, etomidate was routinely used. second 2 years, department protocol shifted to encourage ketamine over etomidate) and found no statistically significant difference in mortality: OR 1.41 (CI: 0.93 – 2.16). However, the 3% difference in mortality favoring etomidate may be important if it held up in a larger trial powered to look for this difference. Bottom line, we don’t know if one agent is superior to another...
Source: Life in the Fast Lane - February 1, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Emergency Medicine R&R in the FASTLANE EBM Education literature recommendations research and reviews Source Type: blogs
LITFL Review 267
Welcome to the 267th 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 chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
The Society of Critical Care Medicine live streamed their conference session on the Surviving Sepsis guidelines 2017: watch it here. [SO]
The Best of #FOAMed Emergency Medicine
Check out this week’s Core EM Podcast for a discussion on ...
Source: Life in the Fast Lane - January 30, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
