The Blood And Guts Shift
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
24 hours spent at the Royal Southern Hospital casualty department, Liverpool in 1975. Although the times, people and process have changed – some things stay the same…
Enlightening to see how the advent of technology (…and gloves) has changed the appearance, organisation, structure and function of the emergency department. Not sure about the attempted intubation, and certainly happy to see the back of gastric lavage.
Unfortunately I remember watching this W...
Source: Life in the Fast Lane - February 3, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medical History 1975 casualty liverpool Source Type: blogs
How to Be Cool
A 27-year-old man with an unknown past medical history presented with altered mental status. Bystanders found him on the sidewalk acting strangely, according to EMS. The patient was drowsy with incomprehensible speech on arrival. He was diaphoretic, tachycardic, and combative. No signs of trauma were noted. His heart rate was 130 bpm, blood pressure 169/90 mm Hg, respiratory rate 30 bpm, SPO2 98% on room air, and temperature 105.3°F. His blood glucose was 150. The patient continued to be minimally responsive.Etiologies of HyperthermiaNeuroleptic malignant syndromeSerotonin syndromeAnticholinergic syndromeSympathomim...
Source: The Tox Cave - September 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Research and Reviews in the Fastlane 180
This article reviews lavage cases called in to a state poison center and finds that while numbers are down, many of the ones performed were inappropriate. Bottom line, better education needs to be done to stress when and where it’s useful. Ingestions within 60 minutes of presentation of enough drug to have a serious toxic effect and where there’s no available antidote should prompt consideration for lavage in conjunction with a toxicologist when possible.
Recommended by: Anand Swaminathan
Toxicology Nelson CJ et al. Morbidity and mortality associated with medications used in the treatment of depression: an ...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education General Surgery Infectious Disease Intensive Care Microbiology R&R in the FASTLANE Resuscitation Social Media Toxicology Toxicology and Toxinology critical care Emergency Medicine literature recommendations research a Source Type: blogs
Insecticide Poisoning From Aluminum Phosphide and Phosphine
There was a sad story about a woman who died from insecticide poisoning inside her home after family member sprayed agricultural insecticide inside the house earlier in the day. While the story was sad, the back story was quite interesting to me.
The poisoning was from aluminum phosphide. When exposed to atmospheric moisture or stomach acid, aluminum phosphate converts to aluminum hydroxide (which is used to treat excess stomach acid) and phosphine gas – which is highly toxic. Phosphine gas typically smells like rotting fish or garlic. Phosphine is explosive and is heavier than air, so it tends to collect in low-lyin...
Source: WhiteCoat's Call Room - June 19, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Medical Topics Source Type: blogs
Worst Smells In The Hospital? There's a List For That!
I recently asked my thousands of Facebook readers to describe the worst smell in the hospital in their own words. They did not disappoint. The hospital setting provides the perfect opportunity to experience a crisis of unimaginable olfactory proportions. Some people thought the smell of rotting flesh was the most intolerable smell in the hospital. Other folks said the unmistakeable smell of melena was the worst. Walking off an elevator onto a floor or unit and experiencing the smells of nasal suicide is a sure fire way to create interesting conversation. Simply ask anyone who's job is st...
Source: The Happy Hospitalist - October 19, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
The LITFL Review 096
Welcome to the majestic 96th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
EMCrit
Top spot is an absolute ripper on Critical Care Palliation with Ashley Shreves - This is the best ED...
Source: Life in the Fast Lane - February 25, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review Resuscitation LITFL R/V Source Type: blogs
The LITFL Review 096
Welcome to the majestic 96th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
EMCrit
Top spot is an absolute ripper on Critical Care Palliation with Ashley Shreves - This is the best ED...
Source: Life in the Fast Lane - February 25, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review Resuscitation LITFL R/V Source Type: blogs
