
18 year old man day 7 in ICU after jumping from a building. Tracheostomy performed the day before. Acute respiratory distress with inability to pass a suction catheter through the tracheostomy tube.
Life in the Fast Lane Medical Blog
Emergency Medicine education blog

18 year old man day 7 in ICU after jumping from a building. Tracheostomy performed the day before. Acute respiratory distress with inability to pass a suction catheter through the tracheostomy tube.

Consider a 73 year old female admitted with vomiting and subsequent chest pain. This is her admission chest X-ray.
Social (digital) Media is expanding at an unerring rate, penetrating each and every darkened interstice with shafts of sharing light and goodwill….At least that’s how it seems.

Having a toothpick fish (the Candiru) take a detour up your urethra doesn’t really bear thinking about. The idea of maggots crawling around under your skin sickens you. It is true, humans are afflicted by some pretty nasty parasites. At we can least be thankful for bacon.
But things could be much, much worse.
I don’t own shares in the makers of this product, nor can I verify its effectiveness. However, just the idea of being able to used your iphone as a CPR coach is mind-boggling.

It may be idealistic, but the UCEM firmly believes that in the future the management of emergency patients should be outsourced and entirely orchestrated from offshore. Hands-off-medicine, teleconferencing, the iPhone and video assisted robotic technology (VART) will assist in the management of critically ill patients within the waiting room.

“Action at a distance” is a phrase synonymous with flight-deck control physicians practicing the hands-free model of patient examination and management. Whilst cruising the interweb for evidential examples of such medical practitioners, I was lucky enough to happen upon an evolutionary tool – the Kymera Magic WAND

Consider a 21 year-old presenting to the emergency department with fevers and agitation.
His lumbar puncture results are shown below:
I’m a big fan of TED and strongly suggest you subscribe to their video podcasts if you don’t already. Rory Sutherland is an advertising whizz. He argues that adding intangible or perceived value to things we already have is perhaps no bad thing and perhaps may be the only alternative to a world of unsustainable consumerism.
A few experiences in the last week or two have reminded me of the importance of Peter Safar’s Laws for the Navigation of Life: Law 20. Death is not the enemy but occasionally needs help with timing. Sometimes some of us seem to forget that for all of us the time will come one day. [...]
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