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JellyBean 013
Dr Penny Stewart. Director of Alice Springs ICU.
The “white haired doctor” in the “land of the long white cloud”.
Red Hot Medicine in the Hot Red Centre of Australia.
Alice Springs Hospital, in the Northern Territory of Australia, is one of the worlds most remote Intensive Care Units.
It cares for some of the worlds most spectacular people in one of the worlds most spectacular environments.
Sick people but reversible causes.
Penny has published previously on the differences in the presentation of, and recovery from, severe sepsis in the indigenous western desert population that visit her unit...
Source: Life in the Fast Lane - October 27, 2013 Category: Emergency Medicine Doctors Authors: Doug Lynch Tags: Emergency Medicine Featured JellyBean Dr Penny Stewart Source Type: blogs
Acute Care Medicine Course – January 2014
Want more confidence to deal with medical emergencies? Want to learn how to run a MET call? Want to know what to do before the ICU team arrives? Then the Clinical Course in Acute Care Medicine is for you.
Professor Ian Davis
Run over 4 days (16-19 January 2014) at Eastern Health and convened by the well regarded Prof Ian Davis (Oncologist and Professor of Medicine, Monash University) and Assoc Prof Ramesh Nagappan, (Intensivist and Director of Internal Medicine at Eastern Health, Melbourne), this annual event focuses on the pre-ICU care of the seriously ill.
Ramesh is the funniest man I know in Acute Medicine. Apart from...
Source: Life in the Fast Lane - October 26, 2013 Category: Emergency Medicine Doctors Authors: Gerard Fennessy Tags: Conference EBM Lecture Education Emergency Medicine Emergency Medicine Update Evidence Based Medicine Health Intensive Care Source Type: blogs
EMA Journal October 2013
From Andrew Gosbell & Tony Brown
Issue 5 (Vol. 25) of Emergency Medicine Australasia published online on 6 October 2013
Emergency medicine training for interns (#FOAMed)
The contemporary growth in medical graduates in Australia is resulting in increasing demands for postgraduate training placements. Two editorials consider the impact on emergency medicine (EM) training for junior doctors, where supervisory capacity in ED’s represents a potential “bottleneck”. Brazil (@SocraticEM) and Mitchell (@robdmitchell) argue that the emphasis for ED-based intern rotations should focus on quality, even if this m...
Source: Life in the Fast Lane - October 25, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: EMA Emergency Medicine Featured Journal Clinical Handover ED LOS EM training emergency medicine australasia FOAMed Source Type: blogs
TechTool Thursday 039
TechTool review Epocrates Bugs + Drugs by Epocrates on iOS
Website: – iTunes - Website
Bugs + Drugs uses cloud-based information on bugs and their sensitivities. Epocrates has joined up with athenahealth to create this app. athenahealth provides data from its electronic health records (it has 15 million patients) and that information is geo-analysed and presented to you by Epocrates.
Essentially you can view geographically-targeted information about the bugs and sensitivities that are prevalent.
The aim is to help you decide on the best antibiotic treatment for your patient, while waiting for the cul...
Source: Life in the Fast Lane - October 17, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: eLearning Emergency Medicine Featured athenahealth epocrates iOs iphone Reviews Tech Tool TechTool Source Type: blogs
The LITFL Review 112
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.
Welcome to the 111th edition, brought to you by:
Kane Guthrie [KG] from LITFL
Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles
Brent Thoma [BT] from BoringEM, and
Chris Nickson [C...
Source: Life in the Fast Lane - October 14, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs
The Use of Thrombolysis as a Treatment for Acute Stroke
Conclusion
Left deliberately blank.
..it is now up to you – the medical and the non-medical public to make up your mind…
The References
Intravenous desmoteplase in patients with acute ischaemic stroke selected by MRI perfusion-diffusion weighted imaging or perfusion CT (DIAS-2): a prospective, randomised, double-blind, placebo-controlled study. Lancet Neurology 2009 Feb.;8(2):141–150. PMCID 2730486
Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): a placebo-controlled randomised trial. Lancet Neurology 2008 Apr.;7(4):299–309.PMID 18296121
Random...
Source: Life in the Fast Lane - October 7, 2013 Category: Emergency Medicine Doctors Authors: Michelle Johnston Tags: Education eLearning Emergency Medicine Featured IST-3 lysis Prof Daniel Fatovich Prof Simon Brown stroke Source Type: blogs
Healthcare Update Sattelite Edition – 09-18-2013
Copeptin levels may revolutionize chest pain evaluations in the ED. When standard treatment was compared with early discharge after normal copeptin levels were obtained, there was no significant difference in major adverse cardiac events at 30 days.
Need to review the study data, but this is a promising new test.
Marco Rubio calls federal government’s $8.7 million advertising campaign for Obamacare a “blatant misuse of federal dollars.”
International Longshore and Warehouse Union dumps affiliation with the AFL-CIO, citing support of Obamacare and immigration reform as two reasons for the disaffiilation.
Good thing to...
Source: WhiteCoat's Call Room - September 18, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs
smaccGOLD Registration Opens Monday!
We’ve been getting plenty of tweets and emails asking when smaccGOLD registrations will open…
Wonder no more.
The smaccGOLD online registration goes live this Monday 16th September 2013 at 8am Sydney EST — which, for those around the world, is 11pm Sunday 15th in London, 6pm Sunday 15th in New York and 6am Monday 16th in Perth, Western Australia.
Use this link to register once registration goes live.
Be sure to check out the workshops too — being held a day earlier on the 18th March 2014 — there are lots of them!
Be warned, we are expecting the workshops to sell out super fast as numbers are lim...
Source: Life in the Fast Lane - September 14, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Intensive Care Resuscitation SMACC 2014 Conference registration smaccGOLD Source Type: blogs
Umesh Prabhu, The Changemaker
…. mistakes are made by us all, but what causes one man to decide to change the culture of medicine?
LITFL Editor’s note: This is part three of a three-part series of posts on medical error that tie in with article by Tessa Davis in the Medical Journal of Australia Insight. Use these links to read the first two parts: The doctor who exposed his own error and The victim of medical mistakes.
When Umesh Prabhu moved from India to work as a paediatrician in the UK he had no reason to be a patient safety advocate; until his own mistake resulted in a terrible outcome for his patient. Here, I talk to him about how he has ...
Source: Life in the Fast Lane - September 13, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Emergency Medicine Featured change medical error medical journal of australia mistakes MJA insight umesh prabhu Source Type: blogs
EMCrit Talks SMACC GOLD
The build up to SMACC GOLD has well and truly begun — remember March 19th to 21st 2014 on the Gold Coast in Australia, with limited places for the amazing workshops on March 18th 2014 (think airway workshop with Weingart, Levitan and Le Cong or an education workshop with Rogers, Brazil, Mallemat and Carley… plus lots, lots more!)
Our fearless leader on the SMACC organising committee, Roger Harris (@RogerRDHarris), was over in New York recently and got to do an EMCrit podcast on the upcoming conference. You’ll also hear Scott Weingart’s (@emcrit) own glowing appraisal of the conference.
Check out EMCri...
Source: Life in the Fast Lane - September 8, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Intensive Care Resuscitation SMACC Conference emcrit FOAM roger harris scott weingart SMACC GOLD Source Type: blogs
Jam it!
This is a great concept — Just A Minute Instant Tutorials – short one minute refresher videos for use on your smartphone, tablet or laptop, either streamed or downloadable.
It is also a great competition.
It comes from the collective brain of Casey Parker, Minh Le Cong and Tim Leeuwenberg — and I suspect at least subconsciously inspired by Matt Dawson and Mike Mallin’s One Minute Ultrasound app — all five will feature at SMACC GOLD too of course.
Here’s the low down as of 5th September 2013, from the JAMIT — Rural Medicine Australia page, where you can submit your entries:
Entry to the comp...
Source: Life in the Fast Lane - September 2, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Competition Emergency Medicine Featured FOAM Pre-hospital / Retrieval Resuscitation Video JAMM JAMM IT remote rural Source Type: blogs
Jamm it!
This is a great concept — Just A Minute Medicine Instant Tutorials – short one minute refresher videos for use on your smartphone, tablet or laptop, either streamed or downloadable.
It is also a great competition.
It comes from the collective brain of Casey Parker, Minh Le Cong and Tim Leeuwenberg — and I suspect at least subconsciously inspired by Matt Dawson and Mike Mallin’s One Minute Ultrasound app — all five will feature at SMACC GOLD too of course.
Here’s the low down, ripped from the PHARM blog:
Overview:
JAMM (Just a Minute Medicine) is a FOAMEd ( Free Open Access Medical Education) conc...
Source: Life in the Fast Lane - September 2, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Competition Emergency Medicine Featured FOAM Pre-hospital / Retrieval Resuscitation Video JAMM JAMM IT remote rural Source Type: blogs
The doctor who exposed his own error
Rather than hiding in shame from his mistakes, Bryan Bledsoe went public to tell the world about his error. Here, he tells me about the reasons behind that decision, and the consequences it has had for his career.
Not only did he survive the terrifying experience of ‘going public’, he actually believes that the publicity benefitted him and others.
Now he is a successful Emergency Physician, and author, in the USA, but back when he was a junior doctor he sent a patient home with tragic consequences. Dr Bledsoe described the details of his clinical encounter to me – the lady came in with a soft cervical collar on a...
Source: Life in the Fast Lane - August 27, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Emergency Medicine Featured Bryan Bledsoe medical error MJA Source Type: blogs
All The Good Stuff
I recently saw the awesome workshops being lined up for the 30th ACEM Annual Scientific Meeting in Adelaide this November. I asked Thiru what really good stuff was going down this year — this it what’s being served up:
Critical care stuff — Updates in Resus, Trauma, Cardiology…
Topical stuff — Time based targets, Sepsis guidelines, Thrombolysis for stroke, International EM…
Education stuff — “Management for Clinicians” workshop by RACMA, CRP update, Communication workshop, SIMWARS, US “finishing school”, “How to publish workshop” “Tox workshop” “Radiology workshop”…
Ext...
Source: Life in the Fast Lane - August 20, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Conference Emergency Medicine Featured South Australia ACEM adelaide all the good stuff ASM Source Type: blogs
Imagining the future
The ACEM conference in Hobart 2012 was an excellent event which juxtaposed art and science with inspiration and education in the setting of stimulation and entertainment.
Thankfully many of the talks and presentations are now being released for general consumption, and we will highlight some of the key speakers and talks on LITFL.
One session I was fortunate to be involved with was on ‘Imagining the future of e-learning and education’ with Prof Kendall Ho and Mr Stephen Atherton. Although this is a long 90 minute session and the slides appear intermittently – there are some great thoughts and learning p...
Source: Life in the Fast Lane - June 21, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Blog Architecture Education Emergency Medicine Featured Networking Social Media Web 2.0 Web Culture ACEM Conference eLearning hobart Imagining the future Kendall Ho Stephen Atherton Video Source Type: blogs
