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Antimicrobial Resistance: Where to from Here?
Conclusion Newer tools capable of informing these early decisions are under development, but integrating an awareness of AMR into both hospital and GP practice is a key component of winning the fight against superbugs. Throughout the development process, discussion between clinicians and researchers will ensure that diagnostic tools are effective, and also meet the needs of frontline staff. In the mean-time, cultivating an AMR aware mind-set is the best defence against over-prescription. Understanding and accepting the systematic, ubiquitous biases which affect our judgement of risk is particularly helpful. For example, do...
Source: Life in the Fast Lane - May 16, 2017 Category: Emergency Medicine Authors: Jarrad Hall Tags: Clinical Research Microbiology AMR Antimicrobial resistance ESBL Joanna Tedeschi MROs multi-resistant organisms multidrug resistant organisms (MROs) Source Type: blogs

Mastering Intensive Care 010 with Imogen Mitchell
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Imogen Mitchell – An intensivist and Dean of Medicine focused on communication and clinical decision-making Do you seek the relative at the bedside’s help by asking them their opinion on whether their loved one is getting better or not? Do you even have families at the bedside on your ward round? Do you listen as much as you can in your end of life discussions? Professor Imogen Mitchell, a senior intensivist and Dean of Medicine from Canberra, Australia, sees talking ...
Source: Life in the Fast Lane - July 18, 2017 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies Clinical Decision Making communication imogen mitchell Interview podcast Source Type: blogs

Funtabulously Frivolous Friday Five 215
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 215. Question 1 Sir Robert Jones from last week’s FFFF came from a strong line of ‘bone setters’, who was his uncle and what device did Jones promote that his uncle invented in World War one to reduce mortality in wounded soldiers? + Reveal the Fu...
Source: Life in the Fast Lane - November 24, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Congenital central Hypoventilation syndrome Femur fracture Hugh Owen Thomas John Stapp Jones melioidosis murphy's law Nightcliff Gardner's disease Ondine Ondine's curse Religio Medici Thomas Browne Thomas sp 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

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

Antimicrobial Resistance: Where to from Here?
Conclusion Newer tools capable of informing these early decisions are under development, but integrating an awareness of AMR into both hospital and GP practice is a key component of winning the fight against superbugs. Throughout the development process, discussion between clinicians and researchers will ensure that diagnostic tools are effective, and also meet the needs of frontline staff. In the mean-time, cultivating an AMR aware mind-set is the best defence against over-prescription. Understanding and accepting the systematic, ubiquitous biases which affect our judgement of risk is particularly helpful. For example, do...
Source: Life in the Fast Lane - May 16, 2017 Category: Emergency Medicine Authors: Jarrad Hall Tags: Clinical Research Microbiology AMR Antimicrobial resistance ESBL MROs multi-resistant organisms multidrug resistant organisms (MROs) Source Type: blogs

Mastering Intensive Care 008 with Dianne Stephens
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Assoc Prof Dianne Stephens – Developing a happy intensive care family by respecting and valuing everyone in the team How would you go if just after you finished your intensive care training you moved to a remote part of Australia to set up as a solo intensivist and Director of the Intensive Care Unit? That’s precisely what this week’s guest did. And by working hard, respecting and valuing everyone in the team and by communicating well, she led the development of a p...
Source: Life in the Fast Lane - June 15, 2017 Category: Emergency Medicine Authors: Chris Nickson Tags: Mastering Intensive Care Dianne Stephens ICU Source Type: blogs

LITFL Review #170
Welcome to the 170th 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 WeekRory Spiegel offers an in-depth look at the endovascular study triad recently released (MR CLEAN, EXTEND-IA and ESCAPE) to treat acute ischemic strokes, and why we should be cautiously optimistic that a small subset of patients have been identified i...
Source: Life in the Fast Lane - February 22, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

LITFL Review 170
Welcome to the 170th 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 WeekRory Spiegel offers an in-depth look at the endovascular study triad recently released (MR CLEAN, EXTEND-IA and ESCAPE) to treat acute ischemic strokes, and why we should be cautiously optimistic that a small subset of patients have been identified i...
Source: Life in the Fast Lane - February 22, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review LITFL R/V 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

Funtabulously Frivolous Friday Five 197
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 197. The week have a first-aid feel to the questions. Question 1 What organisation celebrates 140 years, 70 years before the NHS? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1761494469'));expand(document.getElementById('ddetlink1761494469'))...
Source: Life in the Fast Lane - July 14, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five cafe coronary claude beck dangerous animal defibrillation Heimlich Heimlich manoeuvre horse ironman madonna buder St John's Ambulance Source Type: blogs

Funtabulously Frivolous Friday Five 208
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 208. Guest post by Dr Mark Corden – paediatric fellow in Melbourne Question 1 A 5 year old presents to you after being picked up from a day at Grandma’s house, she has a pruritic, red, blanching, papular rash to both hands.  After some questioning she tell...
Source: Life in the Fast Lane - October 5, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five aspirin contact dermatitis diet pills digoxin grevillea oleander phentermine reyes syndrome Source Type: blogs

TAPNA 2018: Its toxicology, Australian Style.
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog What is it? TAPNA is the annual scientific meeting for the Toxicology and Poisons Network Australia. Join Australian and International toxicologists at Sydney to run through a plethora of topics including fomepizole (should we use it in Australia?), urine drug screens, what to do with an anion gap and the latest in OP poisoning. TAPNA is hosting a stellar faculty including Dr Michael Eddleston from Edinburgh whose primary research is in pesticides and antidotes. He will ...
Source: Life in the Fast Lane - April 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Conference TAPNA toxicology Source Type: blogs

TAPNA 2018: It ’ s toxicology, Australian Style
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog What is it? TAPNA is the annual scientific meeting for the Toxicology and Poisons Network Australia. Join Australian and International toxicologists at Sydney to run through a plethora of topics including fomepizole (should we use it in Australia?), urine drug screens, what to do with an anion gap and the latest in OP poisoning. TAPNA is hosting a stellar faculty including Dr Michael Eddleston from Edinburgh whose primary research is in pesticides and antidotes. He will ...
Source: Life in the Fast Lane - April 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Conference TAPNA toxicology Source Type: blogs

Mastering Intensive Care 032 with Kate Harding
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Kate Harding – Losing Richard: What can we learn from her intensivist husband’s shocking death? What is it like to witness an intensivist struggle? And what can we learn from the shocking death of an intensivist? This special Mastering Intensive Care episode is on a difficult and important topic. Rather than focusing on bringing our best selves to work, the focus of this episode is the ultimate tragedy of our profession, doctor suicide. I warn you that this is a sa...
Source: Life in the Fast Lane - June 27, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Mastering Intensive Care Andrew Davies doctor intensivist Kate Harding Mental Health Richard Harding suicide Source Type: blogs

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