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Source: Life in the Fast Lane

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Total 146 results found since Jan 2013.

Research and Reviews in the Fastlane 047
In this study, the research team collected pooled urine (read many people used the urinal they collected from) from a popular nightclub area in London and analyzed the specimens for the presence of illicit drug compounds. The goal was to determine whether this method could be used to track patterns and monitor trends in recreational drug use.  Recommended by: Anand Swaminathan Emergency Medicine, Critical Care, Anaesthetics Hindman BJ et al. Intubation Biomechanics: Laryngoscope Force and Cervical Spine Motion during Intubation with Macintosh and Airtraq Laryngoscopes. Anesthesiology. 2014; 121(2):260-71. PMID...
Source: Life in the Fast Lane - September 9, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE critical care Intensive Care literature recommendations Research and Review Source Type: blogs

Palliative Care in Emergency Medicine
Applying some principles learned in Palliative Care to every-day Emergency Medicine practice – a guest post by Professor Ian Rogers FACEM, of St John of God Murdoch Hospital and University of Notre Dame in Perth, Western Australia Earlier this year I did a sabbatical in Palliative Care. I deliberately chose to work with a purely consultative service based in a tertiary teaching hospital. They did not admit under their own bed card nor was there a hospice on site to admit to. We saw patients from all across the hospital; from outpatients to ED, from ICU to slow stream rehabilitation. My aim was to gain an understandin...
Source: Life in the Fast Lane - November 12, 2014 Category: Emergency Medicine Authors: Mike Cadogan Tags: Palliative care Ian Rogers Prof Ian Rogers 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

Simulympics
SimWars! Huh! Yeah! What are they good for? Err… absolutely nothing. Enter Simulympics: The format: two sweaty, blood-spattered, MRSA-encrusted teams of four. From two of Queensland’s busiest and feistiest emergency departments. Side-by-side, 40 minutes against the clock. An obstacle course of broken body parts, spurting arteries and crunching ribs (made out of finest Laerdal plastic). And a very difficult judging panel: all critical, and no care. The only choking will be in the form of obstructed airways. If you want to see the spectacle, bag yourself one of the last 20 tickets for the Spring Seminar on Emer...
Source: Life in the Fast Lane - August 31, 2016 Category: Emergency Medicine Authors: Jo Deverill Tags: Education Emergency Medicine Spring Seminar on Emergency Medicine SSEM 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

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

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 117
This study looked at adding the high frequency linear transducer after failure to identify IUP with the standard transducer. Of 81 initial scans, 27 patients did not have an IUP visualized with the curvilinear probe. Of those, 9 (33%) were found to have an IUP by using the linear probe. (It seems like it is helpful if you can see a probable gestational sac, but can’t identify a fetal pole or yolk sac). Recommended by: Justin Morgenstern Pediatrics Padua AP et al. Isotonic versus hypotonic saline solution for maintenance intravenous fluid therapy in children: a systematic review. Pediatr Nephrol. 2015; 30(7): 1163-7...
Source: Life in the Fast Lane - January 13, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Disaster Education Emergency Medicine Emergency Medicine Update Pediatrics Pre-hospital / Retrieval Radiology Trauma critical care examination Intensive Care R&R in the FASTLANE recommendations research and reviews Resuscitatio 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

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

Spring Seminar Goes to Noosa!
The Spring Seminar on Emergency Medicine is going to Noosa in September 2016!   In case you haven’t been to an SSEM before – this is a boutique Australasian emergency conference run by a not-for-profit organisation. It is squarely aimed at EM clinicans who like to get their hands dirty. The emphasis is on practical stuff: SSEM is legendary for the quality of its workshops. And its venues! The last three SSEMs have been held in the Barossa Valley, Darwin and Rotorua. The extracurricular activities are brilliant and the conference draws bright, outward-going, active clinicians from all around Australasia. T...
Source: Life in the Fast Lane - June 1, 2016 Category: Emergency Medicine Authors: Jo Deverill Tags: Education Emergency Medicine Spring Seminar on Emergency Medicine SSEM Source Type: blogs

Research and Reviews in the Fastlane 166
Welcome to the 166th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is 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 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check o...
Source: Life in the Fast Lane - December 28, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Administration Anaesthetics Education Emergency Medicine Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Toxicology and Toxinology critical care 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

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

Research and Reviews in the Fastlane 077
This article sheds some light on the issue. In this study of ICU patients in Australia and New Zealand, the standard SIRS criteria missed 1 in 8 patients who went on to severe sepsis. These results call into question the reliability of the SIRS criteria.Recommended by: Anand SwaminathanThe R&R iconoclastic sneak peek icon keyThe list of contributorsThe R&R ARCHIVER&R Hall of famer You simply MUST READ this!R&R Hot stuff! Everyone’s going to be talking about thisR&R Landmark paper A paper that made a differenceR&R Game Changer? Might change your clinical practiceR&R Eureka! Revolutionary i...
Source: Life in the Fast Lane - April 2, 2015 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Emergency Medicine Haematology Immunology Infectious Disease Intensive Care R&R in the FASTLANE critical care Education literature recommendations research and reviews Source Type: blogs