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Tropical Travel Trouble 002 Rabies
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 002 A 19 year old gap year student has returned from India to your emergency department reporting she was bitten by a monkey at a temple. A selfie gone wrong but it scored 1000+ likes on Facebook… She is concerned because one of the Facebook comments suggested she may have rabies! A quick Google search suggested 60,000 people a year DIE from rabies. Should she be worried? Should you be worried? Questions Q1. What other questions should yo...
Source: Life in the Fast Lane - February 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine rabies Source Type: blogs

LITFL Review 315
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 315th 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 Rob Macsweeney of Critical Care Reviews posts the 2 hour livestream of the ADRENAL Trial as ...
Source: Life in the Fast Lane - January 21, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 208
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog 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 208. Guest post by Dr Mark Corden – paediatric fellow in Melbourne Question 1 A 5 year old presents to you after being picked up from a day at Grandma’s house, she has a pruritic, red, blanching, papular rash to both hands.  After some questioning she tell...
Source: Life in the Fast Lane - October 5, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five aspirin contact dermatitis diet pills digoxin grevillea oleander phentermine reyes syndrome Source Type: blogs

Privilege and Palliative Care
by Denise HessAn American pastor recently visited Australia and encountered a curious practice. At the start of meetings, any kind of meeting not just religious ones, she found it is common practice to begin with what is called an “acknowledgment of country.” According to reconciliation.org.au:An Acknowledgement of Country is an opportunity for anyone to show respect for Traditional Owners and the continuing connection of Aboriginal and Torres Strait Islander peoples to Country. It can be given by both non-Indigenous people and Aboriginal and Torres Strait Islander people.And it goes something like this:...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 11, 2017 Category: Palliative Care Tags: culture hess open access psychosocial race Source Type: blogs

Funtabulously Frivolous Friday Five 201
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog 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 201, courtesy of Dr Hakan Yaman from RFDS. Question 1 What is the rate of severe permanent TBI in the Asterix comics, 0%, 25%, 50% or 90%? http://www.asterix.com/the-collection/albums/asterix-and-the-picts.html + Reveal the Funtabulous Answer expand(document.getEle...
Source: Life in the Fast Lane - August 10, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five asterix CRP Death dying Felty's syndrome fingernail GCS head injury hospital Pain pencil RA rheumatoid arthritis TBI Source Type: blogs

An adolescent with trauma, chest pain, and a wide complex rhythm
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospitalCase:An adolescent male had a mechanical fall and injured his left shoulder and arm. There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. A bedside cardiac ultrasound was normal.An ECG was recorded:Avinash was understandably confused by this ECG.He wrote:" ECG 1 - shows wide ???IVCD type rhythm ?? Delta waves in them and then his native rhythm, with ectopic pace maker?? "This was recorded shortly after:" Wide com...
Source: Dr. Smith's ECG Blog - June 14, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Peek into the Future of Hospitals: Smart Design, Technologies and Our Homes
A simple, round table with a desktop computer and a projector, where the patient and the doctor have their friendly chat. Whenever an examination is necessary, they cross the “blue line” in the room indicating the “boundaries of the clinic” elegantly. It’s definitely not rocket science, but the patient satisfaction index is soaring. What’s the secret? Radboud University Medical Centre & Cleveland Clinic leading the way into the future of hospitals The scenery takes place at the Oral and Maxillofacial Surgery Department of Radboud University Medical Centre Nijmegen in the Netherlands. The head of the departm...
Source: The Medical Futurist - June 6, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Design architecture future of hospital gc4 hospital design Innovation technology Source Type: blogs

LITFL Review 279
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 279th 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 An incredible talk from Tom Evens discussing how we train for the long game with a focus on margin...
Source: Life in the Fast Lane - April 23, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V 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

Fight Aging! Newsletter, May 2nd 2016
This study is the first CAR T-cell trial to infuse patients with an even mixture of two types of T cells (helper and killer cells, which work together to kill cancer). With the assurance that each patient gets the same mixture of cells, the researchers were able to come to conclusions about the effects of administering different doses of cells. In 27 of 29 participants whose responses were evaluated a few weeks after the infusion, a high-sensitivity test could detect no trace of their cancer in their bone marrow. The CAR T cells eliminated cancers anywhere in the body they appeared. Of the two participants who did n...
Source: Fight Aging! - May 1, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

A History of General Refrigeration
Ancient societies figured out that hypothermia was useful for hemorrhage control, but it was Hippocrates who realized that body heat could be a diagnostic tool. He caked his patients in mud, deducing that warmer areas dried first.   Typhoid fever, the plague of Athens in 400 BC and the demise of the Jamestown Colony in the early 1600s, led Robert Boyle to attempt to cure it around 1650 by dunking patients in ice-cold brine. This is likely the first application of therapeutic hypothermia, but it failed to lower the 30 to 40 percent mortality rate. One hundred years later, James Currie tried to treat fevers by applying hot,...
Source: Spontaneous Circulation - March 31, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

LITFL Review 170
Welcome to the 170th 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 WeekRory Spiegel offers an in-depth look at the endovascular study triad recently released (MR CLEAN, EXTEND-IA and ESCAPE) to treat acute ischemic strokes, and why we should be cautiously optimistic that a small subset of patients have been identified i...
Source: Life in the Fast Lane - February 22, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V Source Type: blogs

LITFL Review #170
Welcome to the 170th 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 WeekRory Spiegel offers an in-depth look at the endovascular study triad recently released (MR CLEAN, EXTEND-IA and ESCAPE) to treat acute ischemic strokes, and why we should be cautiously optimistic that a small subset of patients have been identified i...
Source: Life in the Fast Lane - February 22, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

EMA Journal August 2014
Issue 4 (Vol. 26) of EMA Journal for 2014 was published online on 4th August. Editorial overview by Andrew Gosbell & Geoff Hughes Lifers – the loneliest doctors   (#FOAMed) In the latest dispatch from the FOAM Frontier, Spiegel (@EMNerd_), Johnston (@Eleytherius), Ercleve (@Ercleve) and Nickson (@precordialthump) takes us on board the deep space transporter Odysseus where the deep space medics, jovially known as ‘Lifers’, deal with the perils of the induced mental and physiological stasis of passengers who make the centuries long voyages through deep space. The goal of appropriate sedation and ‘quenc...
Source: Life in the Fast Lane - August 15, 2014 Category: Emergency Medicine Authors: Mike Cadogan Tags: Education EMA Journal Emergency Medicine dental emergencies esop tool kit Lifers pediatric fractures Source Type: blogs