Zeff talks Toxinology for the Fellowship
Some of you may have noticed some building work on the website in the form of the toxicology library. It almost has the foundations cemented in but a long way to go before we have a house warming party. On our last check of the builders we spotted a little portacabin with toxinology written on the door and inside we found the following talks from the James Hayes Saturday morning fellowship sessions in Melbourne. Snakebite and controversies: + Zeff – James Hayes Fellowship teaching Snakebite expand(document.getElementById('ddet1970850801'));expand(document.getElementById('ddetlink1970850801')) Spiderbites and the hi...
Source: Life in the Fast Lane - January 29, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Tox Tutes Antivenom jellyfish marine bites marine envenomation Red Back Spider red back spider antivenom snakebite spider bite toxicology library Toxinology Source Type: blogs

Funtabulously Frivolous Friday Five 174
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 173. Clue: I hope you have built up an appetite for our FFFFs, this weeks answers are all food related. Question 1 How many calories are consumed when licking a stamp? + Reveal the Funtabulous Answer expand(document.getElementById('ddet986522046'));expand(document.getElementById('ddetlink986522046')) 1/10th of a Calorie. A regular stamp has 5.9 calories but commemorative stamps hold a whopping 14.5 calories from t...
Source: Life in the Fast Lane - January 27, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five candy floss dentist ketchup poison apple Stamps tomato turmeric william morrison wound healing Source Type: blogs

Research and Reviews in the Fastlane 170
This study adds more evidence that hyperoxia is bad for patients. Recommended by: Clay Smith Furhter reading: Hyperoxia kills: Oxygen-ICU RCT (EM Topics) 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 this! R&R Hot stuff! Everyone’s going to be talking about this R&R Landmark paper A paper that made a difference R&R Game Changer? Might change your clinical practice R&R Eureka! Revolutionary idea or concept R&R Mona Lisa Brilliant writing or explanation R&R Boffintastic High qua...
Source: Life in the Fast Lane - January 26, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Education Emergency Medicine Intensive Care Pediatrics R&R in the FASTLANE critical care EBM literature recommendations research and reviews Source Type: blogs

LITFL Review 266
Welcome to the 266th 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 Is EM a failed paradigm? Listen to two heavyweights in the field, Simon Carley and Scott Weingart delve into this challenging topic. [AS] The Surviving Sepsis Guidelines have just been updated. Foamcast is here with an excellent summary of the n...
Source: Life in the Fast Lane - January 22, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

You took what?
What is it? TAPNA is the annual scientific meeting for the Toxicology and Poisons Network Australia. Join Australian and International toxicologists at Melbourne to run through a plethora of topics including mushroom poisoning, decontamination, forensic toxicology, ECMO in toxicology and cutting edge updates. TAPNA is hosting a stellar faculty including Dr Kent Olson who is editor of Poisoning and Drug Overdose, co-authored more than 100 articles and mentored over 50 postgraduate toxicology fellows. Stephen Duffull from the University of Otago with over 20 years of clinical pharmacology experience, Teresa Lebel a sen...
Source: Life in the Fast Lane - January 21, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Conference TAPNA toxicology Source Type: blogs

Funtabulously Frivolous Friday Five 173
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 173. Question 1 What arm do most people hold their babies? + Reveal the Funtabulous Answer expand(document.getElementById('ddet2017184592'));expand(document.getElementById('ddetlink2017184592')) The Left The phenomenon, which is called left-side bias or left-cradling bias, encourages the right side of the brain to process emotions and ability to monitor the baby. It occurs 70-85% of the time in humans. However, human...
Source: Life in the Fast Lane - January 20, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five ADHD anxiety bee stings depression dixon of dock green left cradling bias mees lines narcissistic personality OCD phonism rheumatoid arthritis whinnie-the-pooh Source Type: blogs

Research and Reviews in the Fastlane 169
This study confirms this dosage for acute pain in the ED. This was an RCT of ED patients with acute (<30 days) of musculoskeletal, flank, abdominal, or head pain rated at least 5/10. The authors set out to examine mean difference in pain scores between 10mg IV, 15 mg IV, and 30 mg IV and, unsuprisingly, they found no significant difference between mean pain scores. These results are consistent with prior literature and, given side effects of NSAIDs tend to increase in a dose related fashion, it’s a good idea to give the 10mg dose a try. Recommended by: Anand Swaminathan, Jeremy Fried, Lauren Westafe...
Source: Life in the Fast Lane - January 18, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Administration Clinical Research Education Emergency Medicine Gastroenterology Infectious Disease Pediatrics R&R in the FASTLANE EBM literature recommendations research and reviews Source Type: blogs

LITFL Review 265
Welcome to the 265th 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 Sergey Motov, Reuben Strayer and Lewis Nelson this week launched the first free, open-access online pain management book for acute care. It’s an absolutely monstrous undertaking with chapters to roll out serially as they become available. [AS] ...
Source: Life in the Fast Lane - January 15, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 172
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 172. This week we have an animal based radiology quiz sourced from radiopaedia.org.  Question 1 What animal is winking at you? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1221041592'));expand(document.getElementById('ddetlink1221041592')) An owl It is in reference to an absent pedicle. Differentials include, congenital absence, neurofibromatosis, radiation therapy, spinal metastases, int...
Source: Life in the Fast Lane - January 12, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five achalasia birds beak butterflies cobra head fractures owl pedicle Pulmonary Oedema radiopaedia.org rats tail stag stag antlers ureterocele winking owl sign Source Type: blogs

Research and Reviews in the Fastlane 168
Welcome to the 168th 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, Soren Rudolph, 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 o...
Source: Life in the Fast Lane - January 11, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Anaesthetics Education Emergency Medicine Intensive Care Neurology Neurosurgery Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation recommendations research and reviews Source Type: blogs

LITFL Review 264
Welcome to the 264th 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 Another great set of talks from SMACCDub released this week: John Greenwood discussing assault on the RV and Haney Mallemat on the PEA Paradox. [AS]   The Best of #FOAMed Emergency Medicine Rob Orman talks to a number of EPs about the prac...
Source: Life in the Fast Lane - January 8, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

WINning in ICU
This is a guest post by Dr Lucy Modra from the Women in Intensive Care Medicine Network (WIN) The Women in Intensive Care Medicine Network (WIN) was formed in 2015, with the aim of improving the gender balance in Australasian intensive care medicine through research, advocacy and networking. But why was WIN established? How many female doctors actually work in intensive care medicine in Australia? The Medical Training Review Panel reports data directly from Australasian specialty colleges regarding their fellows and trainees. In 2015, 17.1% of CICM fellows and 32.1% of CICM advanced trainees were female. In comparison, ...
Source: Life in the Fast Lane - January 6, 2017 Category: Emergency Medicine Authors: Sarah Yong Tags: Intensive Care gender issues lucy modra medical workforce sarah yong WIN women in intensive care medicine network Source Type: blogs

Funtabulously Frivolous Friday Five 171
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 171 Question 1 Which famous fictional character suffered from Erethism? + Reveal the Funtabulous Answer expand(document.getElementById('ddet171505326'));expand(document.getElementById('ddetlink171505326')) The Mad Hatter due to mercury exposure. Common symptoms include irritability, low self-confidence, depression, apathy, shyness, personality changes, memory loss and delirium. The connection between the Mad Hatte...
Source: Life in the Fast Lane - January 5, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bedlam Bethlem Royal Hospital Erethism FFFF Flemming insulin leonard thompson lewis carroll mad hatter mercury penicillin selfies The Fountains Abbey Source Type: blogs

Simulation Instructor Training Course
Simulation as a Teaching Tool Feb 14-17 2017 Sunshine Hospital, Melbourne What is it? This is a four day immersive simulation course delivered by the Harvard Course Faculty (Centre for Medical Simulation). The CMS was one of the world’s first healthcare simulation centres and continues to be a leader in its field both at Harvard but also globally. This is your opportunity to join us on this high level course. Through scenarios, lectures and group discussions you will be taught clinical, behavioural and cognitive skills through simulation. How much is it? Early Bird Rate $6750 (inc GST) until Thursday 22nd December ...
Source: Life in the Fast Lane - January 5, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Conference Centre for Medical Simulation CMS course Harvard Source Type: blogs

Research and Reviews in the Fastlane 167
This article summarizes several retrospective reviews, concluding that patients with heroin overdose typically do well after EMS treat-and-release naloxone administration, and that they can be safely discharged from the ED after a period of one-hour observation. Considerable limitations in the retrospective nature of such reviews and significant impact of new adulterants such as fentanyl and U-47700 on current “heroin” overdoses seriously limit interpretation and applicability of these studies to today’s clinical practice. Strong caution should be taken in making practice changes based on retrospective and potentiall...
Source: Life in the Fast Lane - January 5, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Cardiology Education Emergency Medicine Intensive Care Pediatrics R&R in the FASTLANE Toxicology and Toxinology recommendations research and reviews Resuscitation Source Type: blogs