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LITFL Review 279
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 279th 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 chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week An incredible talk from Tom Evens discussing how we train for the long game with a focus on margin...
Source: Life in the Fast Lane - April 23, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V Source Type: blogs

Extinguishing Medical Errors with Oil and Gas
Unfortunately for patients and healthcare workers alike, medical errors happen. No matter how well-trained and experienced the practitioner, underneath the scrubs there still resides a human and errors will follow. However, systems can be put in place to minimise them and medicine could do well to learn lessons from other industries. In 2012, there were 107 serious medical errors in Australian hospitals. These ranged from surgery performed on the wrong patient or body part, to surgery where instruments were left inside the patient, to medication errors and in-hospital suicides 1. When considered in the context of the 53 mi...
Source: Life in the Fast Lane - August 3, 2016 Category: Emergency Medicine Authors: Tane Eunson Tags: Administration Medical Errors atul gawande O&G oil and gas industry Source Type: blogs

Fight Aging! Newsletter, May 2nd 2016
This study is the first CAR T-cell trial to infuse patients with an even mixture of two types of T cells (helper and killer cells, which work together to kill cancer). With the assurance that each patient gets the same mixture of cells, the researchers were able to come to conclusions about the effects of administering different doses of cells. In 27 of 29 participants whose responses were evaluated a few weeks after the infusion, a high-sensitivity test could detect no trace of their cancer in their bone marrow. The CAR T cells eliminated cancers anywhere in the body they appeared. Of the two participants who did n...
Source: Fight Aging! - May 1, 2016 Category: Research Authors: Reason Tags: Newsletters 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

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

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

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

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 155
Welcome to the 154th 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 Beaut of the Week Cricoid pressure/force continues to be a contentious point amongst critical care practitioners. Where did it come from? The Bottom Line review and critique the original paper by Sellick. [SO] Insight into the mind of Scott Weingart. How the master...
Source: Life in the Fast Lane - November 10, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: LITFL review LITFL R/V 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

Healthcare Update Satellite — 09-15-2014
This study should be required reading in every emergency medicine residency in this country. In fact, the concepts in the studies should be tested on the emergency medicine board exams. Now if the study only compared the type of a patient’s insurance with the likelihood of emergency department recidivism. How else can the media try to tarnish this guy’s reputation? The doctor who oversaw Joan Rivers’ fatal endoscopy was once *sued* 10 years ago. Gasp. The former patient’s attorneys are really trying to create their 15 minutes of fame. They alleged that 10 years ago the patient received no informed ...
Source: WhiteCoat's Call Room - September 15, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs