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
Boston Bomber Intubated and Sedated
We are following news reports that the alleged Boston bomber Dzhokar Tsarnaev is currently intubated (breathing tube placed) and sedated, as we surmised earlier would be the case, with injuries to the “throat.”
This is a medically imprecise description that would not be used by a trauma surgeon and in civilian parlance can mean one of several things. Likely it is an indication that he was injured by a gunshot wound to his trachea or esophagus. These are wounds that are not as immediately life-threatening as a gunshot wound to the carotid artery but can cause a longer and more difficult recovery.
A gunshot woun...
Source: Inside Surgery - April 21, 2013 Category: Surgeons Authors: Editor Tags: Critical Care Musings Trauma Surgery Beth Israel Deaconess bomb suspect boston Dzhokar injuries intubated sedated Tsarnaev wounds Source Type: blogs
Suicide Docs
From the Economist in October 2012 was an article on physician assisted suicide. In the United States, terminally ill patients can apply for permission to end their lives with the guidance of a doctor in Oregon and Washington state. Several safeguards are in place to prevent this from becoming the default death pathway (only 0.2% of total Oregonian deaths). Also, I had no idea that Holland, Switzerland, and Belgium allow assisted suicide even in non-terminally ill citizens. So you can be suffering from, say, severe acne vulgaris, in the Netherlands and be within your ri...
Source: Buckeye Surgeon - February 3, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs
What Weingart would do
aka Trauma Tribulation 033b
Pull the knife or don’t pull the knife?
Thank you for all your responses. Here is the followup post to Trauma Tribulation 33a.
First of all a quick recap: 16 year old male, multiple stab wounds to his back, knife still in-situ. Obs stable BUT he is 90 minutes from the nearest trauma centre. You have no other docs to help you. The only things you have is a CXR. 2 units of O-neg blood and basic labs…
How do you manage this tricky situation?
We asked Scott Weingart (from EMCrit.org) to look at the scenario and tell us what he would do. It was a bit mean of us, as as we drip-fed th...
Source: Life in the Fast Lane - January 4, 2013 Category: Emergency Medicine Doctors Authors: Gerard Fennessy Tags: Education Emergency Medicine Featured Health Trauma knife in back prone retrieval scott weingart stab wound trauma tribulation Source Type: blogs
What Weingart would do
aka Trauma Tribulation 033b
Pull the knife or don’t pull the knife?
Thank you for all your responses. Here is the followup post to Trauma Tribulation 33a.
First of all a quick recap: 16 year old male, multiple stab wounds to his back, knife still in-situ. Obs stable BUT he is 90 minutes from the nearest trauma centre. You have no other docs to help you. The only things you have is a CXR. 2 units of O-neg blood and basic labs…
How do you manage this tricky situation?
We asked Scott Weingart (from EMCrit.org) to look at the scenario and tell us what he would do. It was a bit mean of us, as as we drip-fed th...
Source: Life in the Fast Lane - January 4, 2013 Category: Emergency Medicine Doctors Authors: Gerard Fennessy Tags: Education Emergency Medicine Featured Health Trauma knife in back prone retrieval scott weingart stab wound trauma tribulation Source Type: blogs
