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Total 150 results found since Jan 2013.

Research and Reviews in the Fastlane 116
This article raises the question of how important MIC is and whether we should be developing and testing alternate ways to assess antibiotic efficacy. Recommended by: Anand Swaminathan Emergency Medicine Piazza G et al. A Prospective, Single-Arm, Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. JACC Cardiovasc Interv 2015; 24;8(10):1382-92. PMID: 26315743 This is simple prospective data on a highly selected group of patients with massive or sub massive PEs. There were almost as many authors as patients here...
Source: Life in the Fast Lane - January 6, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Airway Anaesthetics Cardiology Education Emergency Medicine Infectious Disease Intensive Care Pediatrics Radiology Respiratory critical care examination R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs

Why Don’t We Wash Our Hands?
Courtesy of the SMACC Podcast, my hand hygiene talk from SMACC Chicago has just been released… Enjoy! Hand hygiene is widely regarded as the bedrock for the prevention of healthcare associated infections (HAIs). HAIs are among the biggest killers in modern medicine. Yet, hand hygiene compliance among healthcare workers remains woefully poor. Why can’t we learn the lessons that Semmelweis taught us nearly 150 years ago? If we can’t teach intelligent healthcare workers to wash their hands properly, what hope do we have as medical educators? This is both a patient safety and a medical education priority. Our patien...
Source: Life in the Fast Lane - November 13, 2015 Category: Emergency Medicine Authors: Chris Nickson Tags: Emergency Medicine Infectious Disease Intensive Care SMACC chicago culture change hand hygiene hand washing infection control Source Type: blogs

LITFL Review 195
Welcome to the 195th 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 The Australia and New Zealand Intensive Care Society (ANZICS) have a superb YouTube page with lots of great lectures from their 2014 ASM being uploaded. Why not get started with the oration lecture from the legendary Simon Finfer? [SO] The Best o...
Source: Life in the Fast Lane - August 30, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Hacking Medical Education
Today, Thursday 9th of July 2015, I have the opportunity to speak to Australia’s medical students at The AMSA National Convention Melbourne 2015 about ‘Hacking Medical Education’. This post contains the resources for the talk. The talk is dedicated to the memory of Dr John Hinds, who tragically died last weekend. The simplest advice one can give to any medical student is “Be like that guy – Dr John Hinds“. Ride on, John. What do I mean by Hacking Medical Education? Hacking means many things – all of which apply to this talk to some extent (especially the latter): “gaining un...
Source: Life in the Fast Lane - July 8, 2015 Category: Emergency Medicine Authors: Chris Nickson Tags: Education AMSA hacking medical education medical student conference Source Type: blogs

Real ED Stories – Book Review
Emergency is an anatomy book. It is a collection of stories penned by Emergency Physicians across Australia, and through them the heart of the Emergency Department is meticulously dissected. The raw stories of individuals, of both patients and their clinicians, are laid wide open, for all to see. Emergency is a book that is by turns painful, occasionally gruesome, many times uplifting, but always, in its honesty, brilliantly authentic. These are short stories, written not by masterful authors, but by the doctors working at the coalface of Australasian ED’s. And in that is its strength. Some of the stories read like catha...
Source: Life in the Fast Lane - June 22, 2015 Category: Emergency Medicine Authors: Michelle Johnston Tags: Book Review ACEM Foundation Real ED Stories 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

Airway Lessons from the Austere Environment
The Critically Ill Airway course, run by The Alfred ICU and Monash University, is taking place this week. Among the lineup of elite instructors is Dr Brent May (@docbrent), who  has created a 12 minute video lecture on ‘Airway Lessons from the Austere Environment’.Brent is a trauma anaesthetist at The Alfred, a retrieval physician with Adult Retrieval Victoria, and is Chief Medical Officer for the Australian Formula 1 Grand Prix, Motorcycling Australia and Karting Australia. I asked Brent to speak on this topic because I believe that all airway practitioners can benefit from the lessons learned by those wh...
Source: Life in the Fast Lane - May 4, 2015 Category: Emergency Medicine Authors: Chris Nickson Tags: Airway Anaesthetics Education Emergency Medicine Intensive Care Pre-hospital / Retrieval austere environment brent may critically ill airway course prehospital 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

LITFL Review 174
Welcome to the 174th 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 WeekThe 15th International Symposium on Intensive Care and Emergency Medicine (ISICEM-15) took place from the 17th to the 20th of March. Lots of FOAMy goodness bubbled up from the event, including:A neat summary from Adrian Wong in the OXICM blog: day 1 ...
Source: Life in the Fast Lane - March 22, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Interested in Toxicology? APAMT and TAPNA
You took WHAT???The more you know, the less you know about a poison…. just look at paracetamol! And if your patient took something you knew a little bit about…. it is always combined with a new chemical name that you have never heard about! Not to mention the forever changing and amazing routes to administer it!If you would like to know more about Toxicology, there will be two amazing Toxicology conferences in Australia this year.On 1st and 2nd of May 2015 there is the TAPNA (Toxicology and Poisons Network Australasia) scientific meeting in Sydney. Since it is closely linked with Emergency Medicine and the pois...
Source: Life in the Fast Lane - March 18, 2015 Category: Emergency Medicine Authors: Ioana Vlad Tags: Australia Conference Education Emergency Medicine Toxicology and Toxinology 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 February 2015
Issue 1 (Vol. 27) of EMA Journal for 2015 was published online on 27th January. Editorial overview by Andrew Gosbell & Geoff HughesA Beginners Guide to Medical Social Media and FOAM  (#FOAMed)All you need to know to access online medical education resources and get started with social media is explained by Weingart and Thoma in this video using the conceptual framework of a hierarchy of needs. Predicting the numbers – ED presentations time-series analysis (Abstract)Accurate forecasting of the magnitude of future health services demand, particularly for EDs where overcrowding is indi...
Source: Life in the Fast Lane - February 6, 2015 Category: Emergency Medicine Authors: Mike Cadogan Tags: Clinical Research EMA Journal LITFL Source Type: blogs

Take Heart Australia
Guest Post by Professor Paul Middleton, emergency physician and founder of Take Heart Australia I have spent the last 20 years practicing emergency medicine on the ground and in the air. I have attended countless cardiac arrests both in hospital and the pre-hospital setting; performed compressions on hundreds of chests; sent countless joules of energy through wobbling hearts, and squirted buckets of adrenaline into cannulae, IO needles and ET tubes…but I still have an empty feeling inside – I know we can do better. We hear about cardiac arrest all the time, and as clinicians working in emergency medicine and cr...
Source: Life in the Fast Lane - November 18, 2014 Category: Emergency Medicine Authors: Mike Cadogan Tags: Cardiology Pre-hospital / Retrieval Website Chain of survival OOHCA Paul Middleton Professor Paul Middleton Take Heart Take Heart Australia 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