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Tropical Travel Trouble 011 Tonsillitis and the Bull
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 011 Peer Reviewers: Dr Jennifer Ho, ID physician QLD, Australia and Dr Mark Little, ED physician QLD, Australia. You are working in far North Queensland and encounter a 20 year old Indigenous man with tonsillitis on your ED short stay ward round. He has been receiving IV penicillin and metronidazole overnight but is deteriorating and now cannot open his mouth beyond 1.5cm, and has a swollen neck (some might say ‘Bull neck’). In add...
Source: Life in the Fast Lane - July 25, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine antitoxin bull neck c. diphtheriae c.ulcerans DAT pseudomembrane vaccine Source Type: blogs

MRaCC Alice Springs – a retrieval experience like no other!
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog This is a guest post by Dr Michelle Withers (@desertoak), emergency physician at Alice Springs Hospital On February 12th, 2018, a new and completely unique service went live in Alice Springs – the Medical Retrieval and Consultation Centre (MRaCC). The Central Australian Retrieval service has been operating from the Alice Springs Hospital in conjunction with RFDS in various guises for many years, and we were first accredited for training in 2006. We already consider oursel...
Source: Life in the Fast Lane - July 11, 2018 Category: Emergency Medicine Authors: Chris Nickson Tags: Emergency Medicine Pre-hospital / Retrieval Alice Springs medical retrieval and consultation centre michelle withers MRaCC Source Type: blogs

Button Battery Update
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Button battery ingestion is one of the leading causes of death in paediatric poisoning and this has sharply risen from 2016 despite manufacturing warnings and the addition of tape to cover the negative side (not very useful once you’ve removed that to place it in your device). See Poison.org for more statistics. What makes button battery ingestion more frightening is the fact that the ingestion may go unwitnessed, the child may have vague symptoms like ‘off...
Source: Life in the Fast Lane - June 20, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Toxicology and Toxinology button battery tox library toxicology library Source Type: blogs

Jellybean 93 with Naomi Diel
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The College of Intensive Care Annual Scientific Meeting is upon us. How do you make something like that happen? Lets ask Naomi Diel, part of last years organising committee. The CICM ASM is happening next month. It is in Hobart. That’s in Tasmania. Last year it was in Sydney. There are probably more first year ICU trainees in one hospital in Sydney than there are Intensivists of any description in the state of Tasmania. This year will be different. When I was a kid, m...
Source: Life in the Fast Lane - April 18, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Naomi Diel Source Type: blogs

Mastering Intensive Care 029 with Simon Finfer
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Does each bedside decision you make actually help your patient to feel, function or survive? Have you considered how frightening and intimidating the Intensive Care Unit environment is to your patients and their families? Do you feel empowered by the people you work with and the culture in your ICU? Simon Finfer loves telling a tale. In this episode you’ll hear the story of the serendipitous and multi-national route Simon took to end up working for 25 years in one of Aus...
Source: Life in the Fast Lane - April 8, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies culture ICU patients and families simon finfer Source Type: blogs

Mastering Intensive Care 028 with John Santamaria
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog John Santamaria – Genuine care for patients both during and after the ICU stay How well do you understand what happens to your patients after they leave the ICU? Do you find out how they go and feed this back to your ICU team? Most of you give excellent care to your patients whilst they are in the intensive care unit. No doubt this will be compassionate, appropriate, diligent, information-driven, holistic, team-based and communicative care. But when they leave the ICU, ...
Source: Life in the Fast Lane - March 31, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies ex-ICU genuine care John Santamaria Source Type: blogs

Jellybean 92 with Sethy Ung – The Angkor Hospital for Children
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Let’s talk about Cambodia. Let’s talk to a Cambodian man born in Australia as a result of war. Let’s talk about what one asylum seeking family has given back to both countries. Sometimes curiosity can take you on an expected journey. Sometimes a mixture of fortune and fate (if such things truly exist) throw opportunities at your feet, though you may not know it at the time. A journey of self discovery. An offer of help to a group of strangers. An appreciation ...
Source: Life in the Fast Lane - March 24, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Angkor Hospital Cambodia Sethy Ung Source Type: blogs

Mastering Intensive Care 026 with Peter Kruger
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Peter Kruger – Does anecdotal experience help you provide better intensive care? How do you balance the use of your clinical experience with the literature-based evidence? Are you a good enough listener? Is the clinical handover in your ICU the best it could be? I’ve been reflecting on these questions since I talked to A/Prof Peter Kruger for this week’s Mastering Intensive Care podcast. Peter is Deputy Director of Intensive Care at the Princess Alexandra Hospital in...
Source: Life in the Fast Lane - March 4, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies Peter Kruger Source Type: blogs

Jellybean 90 with Jessica Stokes-Parish – Simulationist
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Over simulated? Simulation; surely one of the fastest growing parts of health education in recent times. There is much more to simulation than a plastic mannequin and healthcare is but a small part of the bigger picture. Matt McPartlin went along to the Australasian Simulation Congress and spoke to ICU nurse and co-convenor Jessica Stokes-Parish. We sent Matt MacPartlin off to pretend to be a submariner, a jet pilot and an ICU Nurse. He wasn’t qualified for any of these...
Source: Life in the Fast Lane - February 13, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: JellyBean Jessica Stokes-Parish Simulationist simulcast Source Type: blogs

Mastering Intensive Care 025 with Sarah Yong
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Sarah Yong – Making an excellent start to an intensive care career What are the biggest challenges when beginning as a fully-fledged intensive care clinician? How do you best use your senior colleagues when your experience bank is still small? What can you do to help achieve gender equity in intensive care medicine? These are some of the questions you’ll ponder as you listen to the latest Mastering Intensive Care podcast guest Dr Sarah Yong from Melbourne. Having s...
Source: Life in the Fast Lane - February 2, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies sarah yong Source Type: blogs

Mastering Intensive Care 022 with Felicity Hawker
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blogFelicity Hawker – A true female pioneer of Intensive CareThis week’s Mastering Intensive Care podcast features Dr Felicity Hawker who is one of the true female pioneers of Intensive Care in Australia and New Zealand.I had the privilege of working with Felicity for over a decade from when I began as a brand new intensive care consultant over 20 years ago and I came to admire her greatly. Mainly because I witnessed first-hand someone who was a master clinician – astu...
Source: Life in the Fast Lane - December 13, 2017 Category: Emergency Medicine Authors: Andrew Davies Tags: Mastering Intensive Care Andrew Davies Felicity Hawker Female Pioneer Source Type: blogs

The Joy and Challenge of Simple Medicine in India
​BY KATE BANKS, MDThe Himalayan Health Exchange (HHE) is an organization that assembles volunteers and health care providers from all over the world to deliver care in underserved areas in northern India. I had the amazing opportunity in my second year of residency to spend a month delivering medical care with HHE in the beautiful inner Himalayan mountains. The month was full of exploring, trekking, camping, learning, doctoring, and personal and professional growth.The clinics were scattered throughout different areas in the state of Himachal Pradesh. Our convoy of interpreters, cooks, volunteers, and health care profess...
Source: Going Global - December 12, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Jellybean 83 Pre-Hospital Medicine with Gregor Prosen
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog ED people doing house visits? Medical retrieval teams having a cup of tea and taking a detailed social history? Emergency doctors going to someone’s home before they come to the ED and recommending treatment at home? Including End of Life treatment? Sound Crazy? Ever been to Maribor? Slovenia? I spoke with Slovenian Emergency Physician and Pre-Hospital Gregor Prosen at dasSMACC. He talks like an emergency physician. He curses like an emergency physician. Gregor ju...
Source: Life in the Fast Lane - November 14, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean gregor prosen Serbia Source Type: blogs

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