LITFL Review 198
Welcome to the 198th 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 Week
A great new #FOAMcc website is born: ICM Case Summaries! This is what it is all about: “Writing ten expanded case summaries is a requirement of the CCT in Intensive Care Medicine training program for doctors in the UK. These summaries are usual...
Source: Life in the Fast Lane - September 20, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
LITFL Review 195
Welcome to the 195th 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 Week
The Australia and New Zealand Intensive Care Society (ANZICS) have a superb YouTube page with lots of great lectures from their 2014 ASM being uploaded. Why not get started with the oration lecture from the legendary Simon Finfer? [SO]
The Best o...
Source: Life in the Fast Lane - August 30, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
LITFL Review 194
Welcome to the 194th 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 Week
When is ST elevation not ACS? Read Stephen Smith’s blog for a great case demonstrating that ST elevation = ischemia but not necessarily coronary occlusion. [AS]
The Best of #FOAMed Emergency Medicine
A primer on xanthochromia from Boring EM. [A...
Source: Life in the Fast Lane - August 23, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Emergency Physicians Must Make the Tough Decisions
This recent case, which occurred within the past year, was sent to me by an unnamed 2nd year EM resident. She says she is a believer in all things FOAM!As this case could have been managed better, she will remain anonymous. But rather than being critical of the management, just try to learn from it.Case presentation:A middle-aged woman with a history of vascular disease presented to a community Emergency Department after an episode of syncope. She complained of 24 hours of severe chest pain radiating to her back, and epigastric abdominal pain. Initial vital signs were BP 128/85, HR 122, RR 22 and O2 saturation ...
Source: Dr. Smith's ECG Blog - June 12, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
What India’s Teleradiology Market Teaches Us About the Future of Medicine
By SAURABH JHA, MD
Teleradiology has the same effect on radiologists as Lord Voldemort has on Muggles. It’s the feared end point of the commoditization of imaging, with Rajeev in Bangalore outpricing Rajeev in Chicago for reading follow-up CTs for lung nodules.
But despite the fears of U.S. radiologists, their counterparts in India have more pressing things on their mind.
“U.S. radiologists think that Indian radiologists are [itching] to steal their jobs. We have plenty of work in India,” reassured Dr. Sumer Sethi, director of TeleRad Providers of New Delhi.
A tech-savvy blogger, Sethi founded TeleRad Pro...
Source: The Health Care Blog - June 10, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Radiology Saurabh Jha Teleradiology Source Type: blogs
Reflecting on the physician’s social contract
“55-year-old man with history of laryngeal carcinoma, status-post radiation therapy, laryngectomy, bilateral neck dissection, with metastases to the lung, status post thoracotomy, currently undergoing chemotherapy who is being admitted for a for first-time seizure. Patient is a transfer from Riker’s Island.”
Prisoners are a common occurrence in Bellevue Hospital. This, however, was my first prisoner-patient. The hyphenation both as I write this now and as it formed as a concept in my mindset off a series of internal dialogues and periods of self-reflection regarding the rights of patients, physicians, and if these ri...
Source: Kevin, M.D. - Medical Weblog - April 17, 2015 Category: Journals (General) Authors: Hadi J. Minhas Tags: Physician Primary care Source Type: blogs
The Stress of Open Thoracotomy
EPs frequently discuss the issue of low-volume, high-acuity procedures that we must be ready to perform, and there is no higher stress or professionally memorable procedure than the open thoracotomy. This is one of the most time-sensitive procedures, and is unquestionably the most invasive procedure in emergency medicine. Hesitating for even seconds will guarantee failure or a poor patient outcome. Nevertheless, no matter how grisly and stressful this procedure may be, it has real potential for saving lives.
Controversies continue to surround this procedure. It is relegated to the trauma team in most Level I trauma ce...
Source: M2E Too! Mellick's Multimedia EduBlog - January 9, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The Stress of Open Thoracotomy
EPs frequently discuss the issue of low-volume, high-acuity procedures that we must be ready to perform, and there is no higher stress or professionally memorable procedure than the open thoracotomy. This is one of the most time-sensitive procedures, and is unquestionably the most invasive procedure in emergency medicine. Hesitating for even seconds will guarantee failure or a poor patient outcome. Nevertheless, no matter how grisly and stressful this procedure may be, it has real potential for saving lives.
Controversies continue to surround this procedure. It is relegated to the trauma team in most Level I trauma cent...
Source: M2E Too! Mellick's Multimedia EduBlog - January 9, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Research and Reviews in the Fastlane 061
Welcome to the 61st 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 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan 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 out the...
Source: Life in the Fast Lane - December 10, 2014 Category: Emergency Medicine Authors: Jeremy Fried Tags: R&R in the FASTLANE airway critical care emergency Emergency Medicine Intensive Care recommendations Review Trauma Source Type: blogs
Funtabulously Frivolous Friday Five 105
Question 1Rodney Dangerfield, the comedian, attends your emergency department. Complete his presenting complaint “I drink too much. The last time I gave a urine sample it had…“?Reveal Answerexpand(document.getElementById('ddet114141590'));expand(document.getElementById('ddetlink114141590'))…an olive in itQuestion 2If one orders a Brompton’s cocktail, what might one get?Reveal Answerexpand(document.getElementById('ddet383681379'));expand(document.getElementById('ddetlink383681379'))Non-commercial hospital grade analgesic/sedativeMore commonly known as Brompton’s mixtureIt contains the...
Source: Life in the Fast Lane - November 28, 2014 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Brompton cocktail chocolate survival FFFF Rapa Nui Rapamycin Rhabdophis tigrinus yamakagashi Source Type: blogs
Stopping Hemorrhage by Aortic Compression
Limb exsanguination is no longer the most common cause of preventable death on the battlefield because of emergency tourniquets. Hemorrhage control for wounds in the junction between the trunk and the limbs and in the neck are an obvious care gap, most commonly in the pelvic area, including the buttocks and groin proximal to the inguinal ligament. (US Army Med Dep J 2011 Apr-Jun:38.) Managing hemorrhagic shock also requires support of central aortic pressure to maximize perfusion of the brain and heart and to control bleeding effectively.
Noncompressible torso hemorrhage is recognized as the leading cause of death in ...
Source: M2E Too! Mellick's Multimedia EduBlog - June 4, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Stopping Hemorrhage by Aortic Compression
Limb exsanguination is no longer the most common cause of preventable death on the battlefield because of emergency tourniquets. Hemorrhage control for wounds in the junction between the trunk and the limbs and in the neck are an obvious care gap, most commonly in the pelvic area, including the buttocks and groin proximal to the inguinal ligament. (US Army Med Dep J 2011 Apr-Jun:38.) Managing hemorrhagic shock also requires support of central aortic pressure to maximize perfusion of the brain and heart and to control bleeding effectively.
Noncompressible torso hemorrhage is recognized as the leading cause of death in tr...
Source: M2E Too! Mellick's Multimedia EduBlog - June 4, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
30 Year Old with Cardiac Arrest, PEA, then Cardiac Ultrasound
A 30 year old collapsed after complaining of chest pain intermittently. He was unconscious. First responders thought they palpated a thready pulse.When medics arrived, there was no pulse. Full CPR was initiated with the LUCAS device. The patient was intubated, an ITD (ResQPod) was used. Other standard cardiac arrest measures were undertaken.Here is the rhythm strip (these are two separate tracings):The initial rhythm is regular and wide complex, with concordant ST elevation, suggesting STEMI. The next rhythm appears to be ventricular fibrillation.The patient could not be resuscitat...
Source: Dr. Smith's ECG Blog - May 29, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs
The LITFL Review 118
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
Welcome to the 118th edition, brought to you by:
Kane Guthrie [KG] from LITFL
Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles
Brent Thoma [BT] from BoringEM, and
Chris Nickson ...
Source: Life in the Fast Lane - December 4, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
The LITFL Review 104
Welcome to the 104th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
Emergency Physicians Monthly
Top spot goes to Emergency Physicians Monthly with a thought provoking and awe inspiri...
Source: Life in the Fast Lane - May 21, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
