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Emergency Medicine Kwa-Zulu Natal Style
aka Postcards from the Edge 010 Each time we feature a ‘postcard from the edge’ from the somewhat infamous New Zealand-trained emergency physician Dr Sandy Inglis he is somewhere new — we last heard from him as a patient in Italy, now he is back in ancestral lands in Kwa-Zulu Natal. Only 2 months have past in this, the wild west of Emergency Medicine, and yet the drama, the excitement, the frustration and the chaos make it feel like we have been here for years. I am employed here as the Head of Department for Emergency Medicine, plucked from the comfort of Australasian Emergency Medicine (EM) to come to this ...
Source: Life in the Fast Lane - April 24, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured kwa-zulu natal postcard from the edge sandy inglis South Africa 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

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

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 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

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

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

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

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

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

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

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

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

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
September 01, 2022 Edition-----This week it is all about weather and climate change with floods, heatwaves and droughts in Parkistan, Europe and China. In the US drought is causing all sorts of food supply issues and price rises.In the EU was a seeing all sorts of energy supply problems.In Australia we have a feast of investigations into ScoMo, RoboDebt and so on. Lots to browse!-----Major Issues.-----https://www.afr.com/policy/foreign-affairs/us-alliance-fear-that-dare-not-speak-its-name-20220818-p5bat8US alliance fear that dare not speak its nameUneasiness about divided, inward-looking America fulfilling its security gua...
Source: Australian Health Information Technology - September 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs