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Tropical Travel Trouble 008 Total TB Extravaganza
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 008 Peer Reviewer Dr McBride ID physician, Wisconsin TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without treatment 50% of pulmonary TB patients will be dead in 5 years. In low to middle income countries both TB and HIV can be ubiquitous, poor compliance can lead to drug resistance and malnourished infants are highly susceptible. TB can be very complex and this post will hopefully give you the backbone to TB m...
Source: Life in the Fast Lane - June 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine Genexpert meningitis TB TB meningitis Tuberculosis 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

The LITFL Review 153
The LITFL Review is 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. Welcome to the 153rd edition, brought to you by: Anand Swaminathan [AS] (EM Lyceum, iTeachEM) Brent Thoma [BT] (BoringEM and Academic Life in EM) Chris Connolly [CC] Chris Nickson [CN] ( iTeachEM, RAGE, INTENSIVE and SMACC) Joe-Anthony Rotella [JAR] Kane Guthrie [KG] Mat Goebel [MG] Segun Olusany...
Source: Life in the Fast Lane - October 20, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Education LITFL R/V Source Type: blogs

The LITFL Review 143
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 143rd 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 9, 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

The LITFL Review 127
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 127th 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 - February 25, 2014 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Education eLearning Emergency Medicine Featured Health Intensive Care 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

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

R&R in the FASTLANE 031
Our currently highly irregular series of eminence-based evidence is finally back again – with the 31st edition: 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 11 recommended reads. Find out more about the R&R in the FASTLANE project here and check out the team of contributors from all around the world. This edition’s R&R Hall of Famer Young NS, Ioannidis JP, Al-Ubaydli O. Why current publicat...
Source: Life in the Fast Lane - May 16, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Health Intensive Care R&R in the FASTLANE critical care literature recommendations research and reviews Source Type: blogs

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