Research and Reviews in the Fastlane 158
Welcome to the 158th 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 2, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Education EBM Emergency Medicine literature R&R in the FASTLANE recommendations research and reviews Source Type: blogs

LITFL Review 255
Welcome to the 255th 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 literal ripper of a review on thoracic aortic dissection, covering everything from presentation, symptoms and signs to help us pick up this too frequently missed presentation. [SL] The Best of #FOAMed Emergency Medicine The Resus Room reviews ...
Source: Life in the Fast Lane - October 30, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

JellyBean 050 with Sara Nikoli ć
You might be a nurse or a doctor or a paramedic. But thats not all you are. Here is a little celebration of everyone in the #FOAMed world because we are more than clinicians. We are people. We have feelings and we get sad. Get ready for a surprise. Last week we spoke about Ethics with Julian Savulescu the Oxford Professor of Ethics. The week before we spoke about Ultrasound saving the world with Resa Lewiss. This week we are singing from a different song sheet… I speak to Sara Nikolić who was a student in Slovenia when I contacted her, then she qualified before I met her, then she danced around the virtual intraple...
Source: Life in the Fast Lane - October 3, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Sara Nikolić Source Type: blogs

LITFL Review 251
Welcome to the 251st 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 Ketamine for acute behavioural disturbance, the narrative summary from Andy Neill’s talk from EuSEM16, with a particular highlight of the Neill sedation assessment tool! [SL] The Best of #FOAMed Emergency Medicine Should you be using the modif...
Source: Life in the Fast Lane - October 3, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Funtabulously Frivolous Friday Five 160
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 160 Question 1 You are on expedition in Greenland and fall off your dog sleigh at speed. Unfortunately you’ve sustained your first ever dislocated shoulder, you think “when in Rome, why not try the eskimo method for relocation”. What will this involve? + Reveal the Funtabulous Answer expand(document.getElementById('ddet22446095'));expand(document.getElementById('ddetlink22446095')) Eskimo Technique...
Source: Life in the Fast Lane - September 30, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five ACHOO autosomal dominant compelling helio-ophthalmic outburst berlin's oedema Buffalo chest Coccyx commotio retinae cuckoo eskimo technique Shoulder dislocation Source Type: blogs

JellyBean 049 with Julian Savulescu FOAMethics
I have a dilemma. It is this; almost all of my ethics are a bunch of poorly thought out lies and assumptions. What am I going to do about it? Perhaps I should ask the Uehiro Chair of Practical Ethics from Oxford, Professor Julian Savulescu My ethics are crap. Your ethics are probably crap too. If you think your ethics are definitely not crap then the aforementioned probability just shot up to somewhere very near 1. If you think Ethics in Medicine are very simple, or even dull, you haven’t thought about them enough. The more you think about them the harder they get. When I was taught ethics as a student it wasn’t too in...
Source: Life in the Fast Lane - September 29, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Medical Ethics #FOAMethics ad hominem Julian Savulescu Professor Robert Cohen Source Type: blogs

Research and Reviews in the Fastlane 153
Welcome to the 153rd 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 - September 29, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Airway Clinical Research Education Emergency Medicine R&R in the FASTLANE Renal Resuscitation critical care Intensive Care research and reviews Trauma Source Type: blogs

LITFL Review 250
Welcome to the 250th 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 Prone ventilation has a myriad of potential beneficial effects in respiratory failure. So why not try it in patients who are not intubated but hypoxic? Great and thoughtful stuff from Josh Farkas. [SO] The Best of #FOAMed Emergency Medicine Core...
Source: Life in the Fast Lane - September 25, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V Source Type: blogs

Research and Reviews in the Fastlane 152
Welcome to the 152nd 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 - September 21, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Airway Anaesthetics Education Emergency Medicine Intensive Care Pediatrics R&R in the FASTLANE Resuscitation Trauma critical care literature recommendations research and reviews Source Type: blogs

LITFL Review 249
Welcome to the 249th 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 Swami discusses the process of thin-slicing in the ED: “the pathophysiology and relative illness of patients on the spectrum are different; [not] apply[ing] the concepts of management of one of the spectrum to the other end…allows u...
Source: Life in the Fast Lane - September 18, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 159
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 159 Question 1 What is Metamorphopsia? + Reveal the Funtabulous Answer expand(document.getElementById('ddet468834156'));expand(document.getElementById('ddetlink468834156')) Metamorphopsia is a type of distorted vision in which a grid of straight lines appears wavy and parts of the grid may appear blank. People with this condition often first notice this when looking at mini-blinds in their home. It is associated wit...
Source: Life in the Fast Lane - September 16, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five amyloidosis Ashmans beats Ashmans phenomenon crying Hofstadter's law Metamorphopsia periorbital purpura Source Type: blogs

Research and Reviews in the Fastlane 151
This study takes data from a trauma registry and shows a survival rate for resuscitative thoracotomy (RT) of 9.7% vs. 37.5% for REBOA. There are a number of issues with this study due to the retrospective design. Additionally, the RT group was more likely to be dead on presentation in comparison to the REBOA group (71% vs. 38% without vital signs). While this data supports REBOA use, a prospective study should be undertaken to gauge the benefit of this modality. Recommended by: Anand Swaminathan Retrieval, Pre-hospital and Disaster Sadek S, et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the ...
Source: Life in the Fast Lane - September 14, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Cardiology Disaster Education Emergency Medicine Intensive Care Pre-hospital / Retrieval Trauma critical care examination literature R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs

JellyBean 048 with Resa Lewiss
Resa Lewiss; Ultrasound Enthusiast Extraordinaire Dr Resa Lewiss is another stand out woman in Medicine and she has become very well known particularly in Point Of Care Ultrasound. Resa was inspired by people that worked outside the USA health care system where she had started out. Since then she has been the first President of the Academy of Emergency Ultrasound and a founding member of WinFocus & Sono-Games. She has been at the forefront of ultrasound throughout her career. The ultrasound modality has moved from a poor cousin in the imaging world to a position of pre-eminence. It is now THE point of care imaging to...
Source: Life in the Fast Lane - September 14, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean POCUS Resa Lewiss ultrasoundrel Source Type: blogs

LITFL Review 248
Welcome to the 248th 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 Susan Wilcox drops some serious knowledge on pulmonary hypertension and clapped-out right ventricles on EMCrit Podcast. Brilliant guest with excellent clinical applications. [JS] Anatomy is back, Andy Neill returns with more of the superb Emergen...
Source: Life in the Fast Lane - September 11, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 158
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 158 Question 1 What disease is depicted in this Egyptian Stele and is only present in two countries in the world due to a WHO, Rotary International and the Bill and Melinda Gates Foundation vaccination campaign? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1763651125'));expand(document.getElementById('ddetlink1763651125')) Polio – seen here in Ruma the Priest Pakistan and Afghanistan ar...
Source: Life in the Fast Lane - September 8, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bagpipe lung Douglas Adams gonorrhoea Goyrand Fracture polio sleet Smiths fracture straun sutherland Source Type: blogs