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JellyBean 054 Bits and Bumps with Dr Penny Wilson
Bits and Bumps on and off the road. The Nomadic GP has dropped anchor. After a serpentine route around some very beautiful locations Dr Penny Wilson has found a place to put down some roots. At least for a while. In Broome. And why not? It has been quite a journey so far involving fame and femininity, mis-quotes and misogyny, genitalia and generalism. Twenty years of schooling and they put you on the day shift. And then some one says: “Sorry….. but are you really a doctor?” Penny Wilson burst onto the scene a few years back when an article that she wrote on her NomadicGP blog hit a nerve. The nerve in question is ab...
Source: Life in the Fast Lane - February 15, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Bits and Bumps Dr Penny Wilson just a GP Source Type: blogs

Medical Drones Will Thrive in Healthcare: A Safe Road to Health
Time is crucial in healing, no matter whether it’s about a natural disaster, heart attack or an organ transplant. In future medical emergencies, where urgent response will be necessary, drones will mean the fastest answer. They will fly the extra mile in delivering drugs, vaccines, blood or organs. Drones are the future of delivery According to my geek calendar, 2017 will be the year of the drone. These advanced versions of model airplanes or unmanned aerial vehicles are everywhere on the rise. According to the estimates of the Consumer Technology Association, 9.4 million units were projected to be sold in 2016 worl...
Source: The Medical Futurist - January 12, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Mobile Health disaster relief drone drone delivery drones emergency GC1 Innovation technology 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

LITFL Review 253
Welcome to the 253rd 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 The ICN has an excellent online focused critical care ultrasound (FCUS) course available. The course is accredited for those licensed to practice in Australia. Registration is required, although its freely available for everyone everywhere....
Source: Life in the Fast Lane - October 16, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review 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

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

Better people make better doctors
What does society expect of today’s doctor? More importantly, what does today’s doctor expect of themselves? How can we become better doctors? An overview with Tane Eunson The expectations modern society places on doctors are explored in the ‘good samaritan’ case of Dekker vs Medical Board of WA, where a doctor was called to account for ‘improper conduct in a professional respect’ when she didn’t stop to lend urgent medical assistance at a motor vehicle accident. This post examines how today’s doctors are judged with respect to ‘professionalism’ and how those notions have changed over time. It is th...
Source: Life in the Fast Lane - July 28, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Arcanum Veritas better doctors Better people Tane Eunson 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

Australian Anaphylaxis amplification
Anaphylaxis is increasingly common. The patient population death rate for anaphylaxis is Australia in 2013 was over double that reported in the UK Dr Ray Mullins, an allergist in Canberra, and colleagues from Sydney and Singapore have recently reported an increase in in the number of anaphylaxis fatalities in Australia. This is currently trending towards a 3 fold increase in anaphylaxis deaths over the study period of 15 years. Mullins and colleagues had previously identified a rise in the rate of all food allergy, with the most dramatic effect in young childhood food where hospital admission analyses showed a 50...
Source: Life in the Fast Lane - May 18, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Clinical Research Education Immunology allergy Anaphylaxis EpiPen mastocytosis Ray Mullins Source Type: blogs

Foreign policy through the lens of an emergency physician
These seem unrelated, but give me a chance. I was eating outside at a restaurant with my 5 month old, Max, and a car with a modified muffler hit the gas right in front of us. In Australia, you’d call the driver a “hoon.” The noise terrified my boy, and I felt something I’m not used to: protective rage. When Max stopped crying my mind went to struggling families, kids, bombs, drones and suicide bombers, naturally. So I thought I’d type on medicine and foreign affairs. When you arrive in an ER with one-sided leg/arm/face paralysis, you’ll probably be whisked to a CT scanner to see whether...
Source: Kevin, M.D. - Medical Weblog - May 15, 2016 Category: Journals (General) Authors: Tags: Physician Emergency Source Type: blogs

JellyBean 033 with Anne Creaton
Bula! So Anne Creaton is knee deep in Fiji. Knee deep in another culture. Knee deep in Government Bureaucracy. Knee deep in the most beautiful water in the world. What a woman! I worked with Anne a few years ago when she helped start up the Ambulance embedded aeromedical service called Adult Retrieval Victoria in Melbourne. That wasn’t hard enough for her. So she headed off to Fiji to try to bring some of what she had learned to the Pacific. Now I don’t know what you know about Fiji. It is an incredibly interesting place with an incredibly interesting mix of people.I know that I don’t know enough about the history of...
Source: Life in the Fast Lane - May 14, 2016 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean Anne Creaton Fiji 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

Global Drug Reference Online – Global DRO
The Global Drug Reference Online (Global DRO) provides athletes and support personnel with information about the prohibited status of specific medications based on the current World Anti-Doping Agency (WADA) Prohibited List. Global DRO does not contain information on, or that applies to, any dietary supplements. The new, updated and readily accessible website for Global DRO is found here: http://www.globaldro.com/Home The Global DRO allows users to search for specific information on products sold in the United Kingdom, Canada, the United States, Japan and Australia. The Global DRO provides the same critical information ...
Source: Life in the Fast Lane - April 29, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Sports Medicine ASADA Global DRO Therapeutic Use Exemption TUE WADA 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

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