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The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 06, 2022 Edition-----In the UK the current Tory Government appears to have totally lost the plot and failed to even move to fix things – a real disaster I fear for millions.In the US Hurricane Ian seems to have been of Biblical Scale that will take years to repair the damage.In Europe we see the recession arriving.In OZ we are coping with the Optus data breach, an imminent and difficult Budget and the new Integrity Commission being sorted out!-----Major Issues.-----https://www.afr.com/technology/manufacturers-turn-to-robots-as-job-ads-go-unanswered-20220920-p5bjilHow a $1m robot solved this company ’s labour sh...
Source: Australian Health Information Technology - October 6, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Future of Emergency Medicine: 6 Technologies That Make Patients The Point-of-Care
Car crashes, home injuries, fires, natural disasters: every minute – if not every second – spent without treatment in such cases of medical emergencies and high-risk patients could reduce the chance of survival or proper recovery. In fact, when deprived of oxygen, permanent brain damage begins after only 4 minutes, while death can occur as soon as 4-6 minutes later. In this race against time, digital health technologies that turn patients into the point-of-care could prove to be game-changers for first responders and emergency units.  From driverless cars through medical drones to artificial intelligence (...
Source: The Medical Futurist - September 29, 2020 Category: Information Technology Authors: berci.mesko Tags: Artificial Intelligence in Medicine Future of Medicine Healthcare Design Healthcare Policy Portable Medical Diagnostics Robotics Telemedicine & Smartphones digital health Health 2.0 Innovation technology emergency emergency medicin Source Type: blogs

Tropical Travel Trouble 010 Fever, Arthralgia and Rash
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs

Button Battery Update
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Button battery ingestion is one of the leading causes of death in paediatric poisoning and this has sharply risen from 2016 despite manufacturing warnings and the addition of tape to cover the negative side (not very useful once you’ve removed that to place it in your device). See Poison.org for more statistics. What makes button battery ingestion more frightening is the fact that the ingestion may go unwitnessed, the child may have vague symptoms like ‘off...
Source: Life in the Fast Lane - June 20, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Toxicology and Toxinology button battery tox library toxicology library Source Type: blogs

The Future of Emergency Medicine: Innovations Making Patients The Point-of-Care
Every minute spent without treatment could reduce the chance of survival in case of medical emergency and trauma patients. Digital health innovations making patients the point-of-care could become a great help for first responders and emergency units in the battle against time. Here, we collected what trends and technologies will have an impact on the future of emergency medicine. Six minutes before brain damage Car crashes, home injuries, fires, natural disasters. The difference between life and death often depends on the speed and efficiency of emergency care services. The work of doctors, paramedics, and nurses being in...
Source: The Medical Futurist - November 28, 2017 Category: Information Technology Authors: nora Tags: imported CPR digital health emergency emergency medicine EMS first aid first response future Health 2.0 Healthcare Innovation technology Source Type: blogs

LITFL Review 306
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 306th 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 RebelEM unleashes his top 10 pearls from ACEP17 [LP] EPMonthly published an ER account of the...
Source: Life in the Fast Lane - November 13, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review #FOAMped #FOAMresus #FOAMsim #FOAMus #meded FOAMcc FOAMed LITFL R/V Source Type: blogs

Research and Reviews in the Fastlane 181
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the  181st 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, Justin Morgenstern and Ch...
Source: Life in the Fast Lane - May 11, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Emergency Medicine Intensive Care R&R in the FASTLANE Toxicology and Toxinology critical care EBM literature recommendations research and reviews Resuscitation Source Type: blogs

Foreign policy through the lens of an emergency physician
These seem unrelated, but give me a chance. I was eating outside at a restaurant with my 5 month old, Max, and a car with a modified muffler hit the gas right in front of us. In Australia, you’d call the driver a “hoon.” The noise terrified my boy, and I felt something I’m not used to: protective rage. When Max stopped crying my mind went to struggling families, kids, bombs, drones and suicide bombers, naturally. So I thought I’d type on medicine and foreign affairs. When you arrive in an ER with one-sided leg/arm/face paralysis, you’ll probably be whisked to a CT scanner to see whether...
Source: Kevin, M.D. - Medical Weblog - May 15, 2016 Category: Journals (General) Authors: Tags: Physician Emergency Source Type: blogs

LITFL Review 184
Welcome to the 184th 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 Here’s an awesome new echo resource from the Nepean Hospital ICU in Penrith, NSW, Australia, containing basic and advanced physics and scanning resources. [SO]   The Best of #FOAMed Emergency Medicine Boring EM reviews the relevance of IN...
Source: Life in the Fast Lane - May 31, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Research and Reviews in the Fastlane 077
This article sheds some light on the issue. In this study of ICU patients in Australia and New Zealand, the standard SIRS criteria missed 1 in 8 patients who went on to severe sepsis. These results call into question the reliability of the SIRS criteria.Recommended by: Anand SwaminathanThe R&R iconoclastic sneak peek icon keyThe list of contributorsThe R&R ARCHIVER&R Hall of famer You simply MUST READ this!R&R Hot stuff! Everyone’s going to be talking about thisR&R Landmark paper A paper that made a differenceR&R Game Changer? Might change your clinical practiceR&R Eureka! Revolutionary i...
Source: Life in the Fast Lane - April 2, 2015 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Emergency Medicine Haematology Immunology Infectious Disease Intensive Care R&R in the FASTLANE critical care Education literature recommendations research and reviews Source Type: blogs

The LITFL Review 142
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 142nd 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 ALiEM Chris Ni...
Source: Life in the Fast Lane - July 1, 2014 Category: Emergency Medicine Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

We need to talk about TTM…. Again
This study has brought about widespread (although not universal) practice change in Australia.Whilst the conclusions of the trial were well received, there have been concerns from those involved in the trial that the study has been misinterpreted as evidence against actively cooling patients following out of hospital cardiac arrest. It is worth noting that many international bodies that set guidelines for the management of cardiac arrest have not endorsed the recommendations of the TTM trial. Currently this includes the Australian Resuscitation Council (ARC). As has been well documented, social media played a large role in...
Source: Life in the Fast Lane - March 8, 2014 Category: Emergency Medicine Doctors Authors: David Denman Tags: Emergency Medicine Evidence Based Medicine Featured Intensive Care Resuscitation post-cardiac arrest care Targeted Temperature Management Therapeutic Hypothermia TTM trial Source Type: blogs

EMA Journal December 2013
This report, from the Emergency Care Improvement & Innovation Clinical Network, describes a project that used a multimodal approach, grounded in quality and safety theory, to improve consistency in clinical practice, minimise risks and strengthen clinical governance arrangements for paediatric sedation across a number of Victorian EDs. Key activities addressed clinical governance, risk assessment and procedure documentation, training and credentialing of clinicians, and clinical audit of key quality and safety measures. This multi-modal implementation strategy supported by an evidence-based programme and resources ena...
Source: Life in the Fast Lane - December 23, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Education eLearning EMA Emergency Medicine Featured Journal burden of GP patients Burnout chest pain EMA Journal emergency medicine australasia NOACs oral anticoagulants paediatric procedural sedation Saline therapy Source Type: blogs

Reports of therapeutic hypothermia’s death are greatly exaggerated
I expect you’re completely #FOAMed out by the post-publication frenzy stirred up by the TTM Trial. If not, you’ve come to the right place! Mike collated the explosion of initial FOAM responses in All in a lather over TTM and there have since been notable additions such as Scott Aberegg’s Chill Out: Homeopathic Hypothermia after Cardiac Arrest… and ICN’s interview with TTM investigators Niklas Nielsen and Anders Aneman one week after TTM. Soon after, Charles Bruen came with his fascinating blogpost/podcast putting the latest studies in historical perspective: Therapeutic hypothermia: The h...
Source: Life in the Fast Lane - December 1, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Evidence Based Medicine Featured Health Intensive Care Resuscitation Bernard critical appraisal HACA Nielsen Targeted Temperature Management Therapeutic Hypothermia TTM Source Type: blogs