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Total 150 results found since Jan 2013.

FACEMs at Night: A Mattress Stuffed with Flaw
This is the second of two perspectives on whether FACEMs should work night night shifts, for the first, see Anand Swaminathan’s ‘FACEMs at Night: An American Perspective‘. Let us take ourselves one fact. One, simple, undeniable fact. One cannot, after all, dispute a fact. A fact, according to most reputable definers of words (and a few, which are my more preferred sources, disreputable ones) is a truth. A thing that is universally known to be true. Merriam-Webster (American, I know, but in light of it’s lexicographically poetic etymology, we must forgive its murderous spelling) defines it as ‘a true ...
Source: Life in the Fast Lane - September 21, 2014 Category: Emergency Medicine Authors: Michelle Johnston Tags: Australia Emergency Medicine consultant emergency physician FACEM night-shift Source Type: blogs

Research and Reviews in the Fastlane 047
In this study, the research team collected pooled urine (read many people used the urinal they collected from) from a popular nightclub area in London and analyzed the specimens for the presence of illicit drug compounds. The goal was to determine whether this method could be used to track patterns and monitor trends in recreational drug use.  Recommended by: Anand Swaminathan Emergency Medicine, Critical Care, Anaesthetics Hindman BJ et al. Intubation Biomechanics: Laryngoscope Force and Cervical Spine Motion during Intubation with Macintosh and Airtraq Laryngoscopes. Anesthesiology. 2014; 121(2):260-71. PMID...
Source: Life in the Fast Lane - September 9, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE critical care Intensive Care literature recommendations Research and 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

CCC Update 007
Hopefully you are well aware of LITFL’s Critical Care Compendium. It started out as a resource for the FCICM exam — which it is — but has grown into a 1500+ page mega-paedia of critical care. If something isn’t there and you think it should be, let me know and I’ll make it happen. If you are having trouble accessing some pages it is because LITFL has undergone a bit of spring cleaning. The “education/” part of the URL for CCC pages has been removed. For example: http://lifeinthefastlane.com/education/ccc/burnout/ is now http://lifeinthefastlane.com/ccc/burnout/ The links in the searchable...
Source: Life in the Fast Lane - August 12, 2014 Category: Emergency Medicine Authors: Chris Nickson Tags: Critical Care Compendium Emergency Medicine FCICM Fellowship Intensive Care CCC FCICM exam update Source Type: blogs

Better ways to meet the needs of people with chronic pain
In this study, participants were randomised into two groups – one group received usual care, while the other received automated symptom monitoring via voice-recorded phone calls or the internet, along with one face-to-face meeting with a nurse care management, who discussed medications with a pain physician, followed by a phone call to discuss the care plan, and two other calls, one at one month and one at three months. Additional calls were provided on the basis of symptom records.  Patients in the intervention group benefited, with reduced scores on pain severity and interference as recorded by the Brief Pain Inve...
Source: HealthSkills Weblog - July 20, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Groupwork Pain conditions Research function healthcare Occupational therapy pain management physiotherapy self management 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

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

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

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

Anaesthetic Crisis Manual
Book Review: The Anaesthetic Crisis Manual, David C Borshoff The Anaesthetic Crisis Manual (The ACM), was first published in 2011 and is a collection of 22 life threatening crises that anaesthetists manage in everyday practice. Based on the cockpit QRH (quick reference handbook) used in the airline industry, and using CRM (crew resource management) principles developed for aviation safety, the ACM brings tried and tested checklist instruction to the field of Patient Safety. LITFL reviewed the book as a potential resource in the setting of the emergency resuscitation area and at the ICU bedside. The ACM utilises accepted...
Source: Life in the Fast Lane - December 20, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Book Review Education eLearning Emergency Medicine Featured Reviews ACM Anaesthetic Crisis Manual Anesthetic Manual CRM David C Borshoff Dr Borshoff QRH Source Type: blogs

EMCC Blog update
Yes, it is that time of the year again when we update our database Emergency Medicine and Critical Care blogs and podcasts For the last 5 years we have reviewed, revised and revitalised the EMCC blog and podcast lists. It is a great way to add new sources, marvel at the global collaboration and wealth of educational resources in the #FOAMed blogosphere. It is also useful to analyse the trends in the use of social media, and blogging platforms. The full updated tables have been added to the Resource Landing Page and also at the bottom of this post. Readers can subscribe to ALL the EMCC blogs through FOAMEM either by RSS Fe...
Source: Life in the Fast Lane - November 16, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Blog News Bloggers Blogiversary Education eLearning Emergency Medicine Featured Blogroll EMCC EMCC Blog Emergency Medicine Blog Source Type: blogs

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