The Rape of Emergency Medicine, 2017 version
Summa Health, an Ohio Hospital system, recently changed ED contracts from their 40 year group to a new one. On FOUR DAYS’ NOTICE! Four days, over the Christmas/New Year’s Holiday. That sounds distinctly unsafe, beyond the gross lack of sense, or commitment to a 40 year partner.
In case you think this is going smoothly, here’s a post to the ACEP ED Informatics Section from one of their former doctors (reproduced here with permission in its entirety):
I wanted to inform you, my colleagues, about what is going on at my home institution. You all know me as a colleague and a fierce advocate of patient safet...
Source: GruntDoc - January 2, 2017 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Policy Web/Tech Source Type: blogs
LITFL Review 263
Welcome to the 263rd 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
A well-written NY Times essay on how social isolation is killing us made the Internet rounds over the holidays, penned by a medical resident.
The Best of #FOAMed Emergency Medicine
A very interesting and thought provoking post by Josh Fa...
Source: Life in the Fast Lane - January 1, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Research and Reviews in the Fastlane 166
Welcome to the 166th 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 - December 28, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Administration Anaesthetics Education Emergency Medicine Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Toxicology and Toxinology critical care recommendations research and reviews Resuscitation Source Type: blogs
Funtabulously Frivolous Friday Five 170 Christmas Edition
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 170 Christmas Edition
Question 1
Why is Christmas disease so named?
+ Reveal the Funtabulous Answer
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Haemophilia B was first recognized as a different kind of haemophilia in 1952, named after Stephen Christmas, the first patient described with this disease.
If that was not festive enough for you then the first re...
Source: Life in the Fast Lane - December 23, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five bowel perforation brussel sprouts Christmas accidents christmas cake decoration Christmas disease Christmas pudding Haemophilia B stephen christmas vitamin k warfarin Source Type: blogs
Research and Reviews in the Fastlane 165
This study reveals (using US to determine soft tissue depth) that in obese patients, the standard 25 mm IO may not be adequate to penetrate the soft tissue and get into the bony cortex. If you’re unable to palpate the tibial tuberosity, there’s a good chance your IO won’t be long enough. In obese patients, consider reaching for the 45 mm IO needle instead of the 25 mm one. Remember that the 45 mm one can be used for shallower placement (some of the device will simply protrude from the skin).
Recommended by: Anand Swaminathan
Emergency Medicine
Juhani-Mehta M, et al. Effect of Cranberry Capsules on Bacte...
Source: Life in the Fast Lane - December 21, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Anaesthetics Education Emergency Medicine Intensive Care R&R in the FASTLANE Resuscitation EBM literature recommendations research and reviews Source Type: blogs
LITFL Review 262
Welcome to the 262nd 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 Regions EM blog offers a short but important discussion on the reliability of the blood pressure cuff, specifically, the lack of accuracy at lower blood pressures. [AS]
The Best of #FOAMed Emergency Medicine
This week’s CrackCast t...
Source: Life in the Fast Lane - December 18, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
The 12 STI ’ s of Christmas, 2016
I missed posting this last year! (Sorry, it’s not iPhone friendly, so probably not viewable on any mobile devices, so please try it from your desktop machine).
My yearly Christmas favorite, reposted:
Courtesy of the British National Health Service (click the banner):
NSFW. Funny, but Unsafe for work,unless your work involves STD’s in which case it’s required.
It’s my seasonal favorite post, and I hope it’s one of yours.
Not the STD’s, the funny song with equally amusing illustrations. The backstory, from a previous blog post:
I have seen several searches of this blog for the British Na...
Source: GruntDoc - December 17, 2016 Category: Emergency Medicine Authors: gruntdoc Tags: Amusements Source Type: blogs
Research and Reviews in the Fastlane 164
Welcome to the 164th 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, 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 - December 14, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Emergency Medicine Intensive Care R&R in the FASTLANE Resuscitation EBM literature recommendations research and reviews Source Type: blogs
Dont Forget the Conference
Finally the conference we have all been waiting for. Don’t Forget the Bubbles 17 (DFTB17) is a brand new acute paediatric conference covering the cutting edge in paediatric research and care, brought to you by the team from Don’t Forget the Bubbles.
Who’s going to be there?
OMG, WTF, the line up is intense, there are too many to comment on but the highlights include Salim Rezaie and Rob Rogers from REBEL EM, The PREDICT research group, Liz Crowe social worker extraordinaire from SMACC, Radiopaedia, Natalie May from St Emlyn’s, Diana Egerton-Warbuton (if anyone attended the ACEM conference you ...
Source: Life in the Fast Lane - December 14, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Conference DFTB DFTB17 Don't forget the conference paediatrics Pediatrics Source Type: blogs
LITFL Review 261
Welcome to the 261st 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
VL or DL? George Kovaks guest posts on the EMCrit site that this discussion is much more nuanced than what is often discussed. Bottom line: the best approach depends not on the device but on the experience of the operator. [AS]
One of the best fro...
Source: Life in the Fast Lane - December 11, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 169
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 169
Question 1
Children in Ladakh in the Himalayas never seem to get neonatal tetanus. What explanation is given for this?
+ Reveal the Funtabulous Answer
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The effects of high altitude prevents the organism living in the soil. [Reference]
Question 2
In 1667, a human received one of the first blood transfusions. Wh...
Source: Life in the Fast Lane - December 9, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five blood transfusion Charcot laryngeal vertigo cornflakes Cough syncope dancing mania Jean-Baptiste Denys kellogg masturbation neonatal tetanus st vitus Source Type: blogs
Research and Reviews in the Fastlane 163
This study found an OR of 1.16 (0.92-1.46) for mortality in the group that received antibiotics > 3 hours after triage. No one is arguing to withhold antibiotics from septic patients. Rather, we should avoid giving everyone antibiotics simply to meet a quality measure that isn’t based on data.
Recommended by Anand Swaminathan
Emergency Medicine
Ferguson I et al. Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial. Annals of emergency medicine. 68(5):574-582.e1. 2016. PMID: 27460905
We now have another study, this time a mul...
Source: Life in the Fast Lane - December 7, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Pediatrics R&R in the FASTLANE Resuscitation EBM literature recommendations research and reviews Source Type: blogs
LITFL Review 260
Welcome to the 260th 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
A seriously good survival guide for central venous access devices from new DFTB author, Amanda Ullman. Includes tips to salvage almost any line. [JS]
The Best of #FOAMed Emergency Medicine
Check out First 10 EM articles of the month for November...
Source: Life in the Fast Lane - December 4, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Funtabulously Frivolous Friday Five 168
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 168
Question 1
What is Couvade Syndrome?
+ Reveal the Funtabulous Answer
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This is known as a sympathetic pregnancy, or Couvade Syndrome (from the French verb couver, meaning to brood or hatch).
Some men experience pains and changes to their body similar to those of their pregnant partner. For instance, a man might f...
Source: Life in the Fast Lane - December 2, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five couvade syndrome Keratoderma blennorrhagicum nasal dominance rester's syndrome sympathetic pregnancy thesaurosis urine bread Source Type: blogs
Research and Reviews in the Fastlane 162
Welcome to the 162nd 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 - November 30, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE Toxicology and Toxinology EBM literature recommendations research and reviews Source Type: blogs
