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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

smaccGOLD Registration Opens Monday!
We’ve been getting plenty of tweets and emails asking when smaccGOLD registrations will open… Wonder no more. The smaccGOLD online registration goes live this Monday 16th September 2013 at 8am Sydney EST — which, for those around the world, is 11pm Sunday 15th in London, 6pm Sunday 15th in New York and 6am Monday 16th in Perth, Western Australia. Use this link to register once registration goes live. Be sure to check out the workshops too — being held a day earlier on the 18th March 2014 — there are lots of them! Be warned, we are expecting the workshops to sell out super fast as numbers are lim...
Source: Life in the Fast Lane - September 14, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Intensive Care Resuscitation SMACC 2014 Conference registration smaccGOLD Source Type: blogs

Umesh Prabhu, The Changemaker
…. mistakes are made by us all, but what causes one man to decide to change the culture of medicine? LITFL Editor’s note: This is part three of a three-part series of posts on medical error that tie in with article by Tessa Davis in the Medical Journal of Australia Insight. Use these links to read the first two parts: The doctor who exposed his own error and The victim of medical mistakes. When Umesh Prabhu moved from India to work as a paediatrician in the UK he had no reason to be a patient safety advocate; until his own mistake resulted in a terrible outcome for his patient. Here, I talk to him about how he has ...
Source: Life in the Fast Lane - September 13, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Emergency Medicine Featured change medical error medical journal of australia mistakes MJA insight umesh prabhu Source Type: blogs

EMCrit Talks SMACC GOLD
The build up to SMACC GOLD has well and truly begun — remember March 19th to 21st 2014 on the Gold Coast in Australia, with limited places for the amazing workshops on March 18th 2014 (think airway workshop with Weingart, Levitan and Le Cong or an education workshop with Rogers, Brazil, Mallemat and Carley… plus lots, lots more!) Our fearless leader on the SMACC organising committee, Roger Harris (@RogerRDHarris), was over in New York recently and got to do an EMCrit podcast on the upcoming conference. You’ll also hear Scott Weingart’s (@emcrit) own glowing appraisal of the conference. Check out EMCri...
Source: Life in the Fast Lane - September 8, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Intensive Care Resuscitation SMACC Conference emcrit FOAM roger harris scott weingart SMACC GOLD Source Type: blogs

Jam it!
This is a great concept — Just A Minute Instant Tutorials – short one minute refresher videos for use on your smartphone, tablet or laptop, either streamed or downloadable. It is also a great competition. It comes from the collective brain of Casey Parker, Minh Le Cong and Tim Leeuwenberg — and I suspect at least subconsciously inspired by Matt Dawson and Mike Mallin’s One Minute Ultrasound app — all five will feature at SMACC GOLD too of course. Here’s the low down as of 5th September 2013, from the JAMIT — Rural Medicine Australia page, where you can submit your entries: Entry to the comp...
Source: Life in the Fast Lane - September 2, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Competition Emergency Medicine Featured FOAM Pre-hospital / Retrieval Resuscitation Video JAMM JAMM IT remote rural Source Type: blogs

Jamm it!
This is a great concept — Just A Minute Medicine Instant Tutorials – short one minute refresher videos for use on your smartphone, tablet or laptop, either streamed or downloadable. It is also a great competition. It comes from the collective brain of Casey Parker, Minh Le Cong and Tim Leeuwenberg — and I suspect at least subconsciously inspired by Matt Dawson and Mike Mallin’s One Minute Ultrasound app — all five will feature at SMACC GOLD too of course. Here’s the low down, ripped from the PHARM blog: Overview: JAMM (Just a Minute Medicine) is a FOAMEd ( Free Open Access Medical Education) conc...
Source: Life in the Fast Lane - September 2, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Competition Emergency Medicine Featured FOAM Pre-hospital / Retrieval Resuscitation Video JAMM JAMM IT remote rural Source Type: blogs

The doctor who exposed his own error
Rather than hiding in shame from his mistakes, Bryan Bledsoe went public to tell the world about his error. Here, he tells me about the reasons behind that decision, and the consequences it has had for his career. Not only did he survive the terrifying experience of ‘going public’, he actually believes that the publicity benefitted him and others. Now he is a successful Emergency Physician, and author, in the USA, but back when he was a junior doctor he sent a patient home with tragic consequences. Dr Bledsoe described the details of his clinical encounter to me – the lady came in with a soft cervical collar on a...
Source: Life in the Fast Lane - August 27, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Emergency Medicine Featured Bryan Bledsoe medical error MJA Source Type: blogs

All The Good Stuff
I recently saw the awesome workshops being lined up for the 30th ACEM Annual Scientific Meeting in Adelaide this November. I asked Thiru what really good stuff was going down this year — this it what’s being served up: Critical care stuff — Updates in Resus, Trauma, Cardiology… Topical stuff — Time based targets, Sepsis guidelines, Thrombolysis for stroke, International EM… Education stuff — “Management for Clinicians” workshop by RACMA, CRP update, Communication workshop, SIMWARS, US “finishing school”, “How to publish workshop” “Tox workshop” “Radiology workshop”… Ext...
Source: Life in the Fast Lane - August 20, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Conference Emergency Medicine Featured South Australia ACEM adelaide all the good stuff ASM Source Type: blogs

Imagining the future
The ACEM conference in Hobart 2012 was an excellent event which juxtaposed art and science with inspiration and education in the setting of stimulation and entertainment. Thankfully many of the talks and presentations are now being released for general consumption, and we will highlight some of the key speakers and talks on LITFL. One session I was fortunate to be involved with was on ‘Imagining the future of e-learning and education’ with Prof Kendall Ho and Mr Stephen Atherton. Although this is a long 90 minute session and the slides appear intermittently – there are some great thoughts and learning p...
Source: Life in the Fast Lane - June 21, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Blog Architecture Education Emergency Medicine Featured Networking Social Media Web 2.0 Web Culture ACEM Conference eLearning hobart Imagining the future Kendall Ho Stephen Atherton Video Source Type: blogs

TechTool Thursday 032
TechTool review of Figure1 by Movable Science on iOS     Website: – iTunes - Website Figure1 is really what we have all been talking about in the FOAM world for some time.  It’s a way of storing patient photos on your phone, taking consent and sharing them with others for educational purposes. It’s only out in the US at the moment, but I’ve had a sneak preview to see if it’s up to expectations Design and User Interface The design is ok, but could use some work to improve it.  The overall style and colour scheme looks great, but the photo feed doesn’t.  All you see is giant photos in a long list ...
Source: Life in the Fast Lane - June 20, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Application Education eLearning Emergency Medicine Featured iOS Reviews Web Culture android figure 1 iphone Tech Tool TechTool Source Type: blogs

Developing EM
aka Postcards from the Edge 011 Lee Fineberg and Mark Newcombe are Emergency Physicians and Helicopter-Retrieval specialists who are better know in international EM circles for putting together a very successful conference on developing Emergency Medicine globally in Sydney last year. Their conference is called DevelopingEM and on Twitter they are @developingem. This ‘postcard from the edge’ is an interview with them about the DevelopingEM project. 1. Firstly what was the vision behind the Developing EM conference and what inspired you to host the inaugural sessions last year? Mark: Thanks Bish for the intervie...
Source: Life in the Fast Lane - May 17, 2013 Category: Emergency Medicine Doctors Authors: Bishan Rajapakse Tags: Conference Emergency Medicine Featured Health Cuba Developing EM IEM international emergency medicine Lee Fineberg Mark Newcombe 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