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Mastering Intensive Care 004 with Neil Orford
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
In this Mastering Intensive Care podcast, Assoc Prof Neil Orford from University Hospital Geelong in Geelong, Australia describes how he has had to learn key leadership skills, how he values and now teaches communication skills, how he works on his overall life balance and how he has developed an interest in writing.
Neil discusses topics such as: how he ended up studying medicine after considering being a vet and a mathematician; how he uses regular reflection to optimi...
Source: Life in the Fast Lane - May 15, 2017 Category: Emergency Medicine Authors: Chris Nickson Tags: Mastering Intensive Care Neil Orford Source Type: blogs
JellyBean 060 Dave Hartin and the Tayto
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Ready for a laugh? We take two fast-talking and sleep-deprived Irish people and lock them in a shed. They talk. Fast. They tackle the big issues. From Nursing Home Patients in Emergency Departments to the great Sectarian Potato Snack debate. (Try to guess who had had coffee and who hadn’t.)
Dave Hartin is from Northern Ireland (pronounced “Norn Iron”) and from East Anglia too. (Funny accent squared.). Ipswich seems to have a bit going on. They arranged for a stall ...
Source: Life in the Fast Lane - May 10, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Dave Hartin Tayto Source Type: blogs
To BPT, or not to BPT, that is the junior doctor ’s question …
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
As my graduating peers and I embark on our medical careers, it’s a fitting time to consider which medical careers we actually desire. I’ve always had a strong sense of direction for the specialty path I wish to pursue, but at times, like now, I flirt with the idea of pursuing other avenues. It is an important issue that deserves deliberate consideration as it’s what most of us will dedicate the lion’s share of our lives to.
Is being a “specialist in life” as a GP ...
Source: Life in the Fast Lane - February 21, 2017 Category: Emergency Medicine Authors: Tane Eunson Tags: Administration Medical career basic physician training BPT Source Type: blogs
Better people make better doctors
What does society expect of today’s doctor? More importantly, what does today’s doctor expect of themselves? How can we become better doctors? An overview with Tane Eunson
The expectations modern society places on doctors are explored in the ‘good samaritan’ case of Dekker vs Medical Board of WA, where a doctor was called to account for ‘improper conduct in a professional respect’ when she didn’t stop to lend urgent medical assistance at a motor vehicle accident. This post examines how today’s doctors are judged with respect to ‘professionalism’ and how those notions have changed over time. It is th...
Source: Life in the Fast Lane - July 28, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Arcanum Veritas better doctors Better people Tane Eunson Source Type: blogs
Australian Anaphylaxis amplification
Anaphylaxis is increasingly common. The patient population death rate for anaphylaxis is Australia in 2013 was over double that reported in the UK
Dr Ray Mullins, an allergist in Canberra, and colleagues from Sydney and Singapore have recently reported an increase in in the number of anaphylaxis fatalities in Australia. This is currently trending towards a 3 fold increase in anaphylaxis deaths over the study period of 15 years. Mullins and colleagues had previously identified a rise in the rate of all food allergy, with the most dramatic effect in young childhood food where hospital admission analyses showed a 50...
Source: Life in the Fast Lane - May 18, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Clinical Research Education Immunology allergy Anaphylaxis EpiPen mastocytosis Ray Mullins Source Type: blogs
Expedition and Wilderness Medicine
Guest post Dr Edi Albert – Associate Professor, Remote and Polar Medicine at the University of Tasmania. Director, Wilderness Education Group
These two nearly synonymous terms refer broadly to the practice of medicine in austere and remote environments. The former term suggests a “journey with a purpose”, whether scientific, humanitarian, or recreational. The latter terms suggests an environment “undisturbed by human activity”. Either way, a pretty cool way to practice medicine.
It is within this context that we can identify three broad aspects to expedition and wilderness medicine: pre-departure preparation ...
Source: Life in the Fast Lane - April 25, 2016 Category: Emergency Medicine Authors: Sean Rothwell Tags: Medical Specialty Wilderness Medicine adventure adventure medicine Curriculum Dr Bill Lukin Dr Edi Albert Dr Julian Williams Dr Sean Rothwell remote Source Type: blogs
Safe Sport – Protecting the Players and the Game
Rugby and contact sport has always been a part of my life; from the junior rugby fields where organizing young children is like herding cats, to university rugby with post game beers and weekly rejection from the blondes of the ladies hockey team. I’ve always been passionate about sport but now as I’m aging and no longer finding difficulty putting on weight, I’m noticing a different aspect to it; in particular, a large change in the way we prepare and our awareness of participant safety.
Many of us will be able to name some disasters in sport. One of the most high profile in the last few years would have to be Philli...
Source: Life in the Fast Lane - February 23, 2016 Category: Emergency Medicine Authors: Johnny Iliff Tags: Pre-hospital / Retrieval Sports Medicine Concussion ICIR ICIS Petr Čech pitch-side care Safe Sport sport triage Source Type: blogs
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
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
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
FACEMs at Night: An American Perspective
This is the first of two perspectives on whether FACEMs should work night night shifts, for the second, see Michelle Johnston’s ‘FACEMs at Night: A Mattress Stuffed with Flaw‘.
My father, an active general surgeon who has been in practice for almost five decades often recounts stories of “the good ‘ole days” when it was interns and junior residents who cared for patients most of the day. Supervising physicians were uncommonly found in patient care areas (except the operating room). Residents made critical decisions, often without the necessary training, and they and their patients lived (or died) wi...
Source: Life in the Fast Lane - September 21, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Australia Emergency Medicine anand swaminathan consultant emergency physician FACEM night-shift 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
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
