The LITFL Review 090
Welcome to the global 90th 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 Top spot this week is given to The Trauma Professional’s Blog, each week  Michael provides us with fascinati...
Source: Life in the Fast Lane - January 10, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health LITFL review LITFL R/V Source Type: blogs

Tranexamic Acid (TXA).
Around 25% of severe trauma patients experience acute coagulopathies associated with increased morbidity and mortality rates. Recently, we have seen an increased understanding of the relationship between trauma and alterations to the coagulation system. A little ironically, this knowledge has been gained largely from battlefield experience including Iraq and Afghanistan. Tranexamic Acid (TXA) is an antifibrinolytic. That is, it inhibits the activation of plasminogen (and plasmin) thereby preventing the breakdown of existing clots. One of the negative responses to an acute traumatic event is the muting of the bodies plasmin...
Source: impactEDnurse - January 1, 2013 Category: Nurses Authors: impactEDnurse Tags: the nurses desk: Source Type: blogs

Of course, Scotch is a colloid
In discussing blood pressures, and fluid resuscitation, my current precept asked a simple question, “When would you use crystalloids over colloids, assuming both were available?”.  Further discussion led to a narrowing of the question to, “When would you use crystalloids and pressors, rather than simply switching to colloids?” Since there are a variety of reasons to use any fluid resuscitation, let’s make this a trauma patient.  Mr. Smith was using his chainsaw to remove a fallen tree on his property when – whoops! – chainsaw slips and he has a deep cut on his anterior thigh.  E...
Source: DTsEMT - February 16, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Learning Curve Source Type: blogs

From Dr. Jill Bolte Taylor: The Most Electrifying Lecture You'll Ever Hear
I ' ve heard a lot of lectures in my life but < span style= " font-style: italic; " > never < /span > one like this. This is neuroanatomist Dr. Jill Bolte Taylor giving a talk on the functional differences between the right and left hemispheres of the brain. She ' s passionate about her subject as she actually suffered a massive intracranial hemorrhage that trashed her left brain. Dr. Taylor brilliantly describes the experience and sensations both as a stroke victim and as a scientist. < br / > < br / > Not that I want to replicate her experience but man do I wish I could teach like her! Check it out and prepare to be...
Source: California Medicine Man - March 30, 2008 Category: Universities & Medical Training Tags: Art of Medicine Education Medical Education Source Type: blogs