The LITFL Review 006

LITFL2

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.

Happy is as Happy does

Happiness

Happiness begets happiness…especially if you are central to the causation of happiness. A study from Harvard University and the University of California, San Diego found that people at the center of the social network tend to be happier…and they are more susceptible to the waves of happiness that spread throughout the network.

Post-op Pacing Puzzler

ECG Exigency Thumbnail

Night shift in the surgical ICU and one of your post-op cardiac patients is showing some worrying rhythms on their ECG monitor. Can you diagnose the problem and keep them alive until the morning?

Two halves don’t make a whole

Cutler

I just need to get a couple of thoughts from my rambling mind and allow them to scurry around the page for a while – a bit of fresh air will do them good

Coronary Care Manual 2e – Review

coronary care manual

Review of Peter L Thompson’s “Coronary Care Manual (2E)”.

Own the Airway!

Bougie-assisted digital intubation. (a) After the epiglottis is identified by palpating it with the long finger of the left hand, the bougie is threaded through the glottis and advanced into the trachea. Tracheal clicking elicits tactile vibrations, which confirm tracheal placement of the bougie. (b) The bougie is withdrawn slightly so that the 25-cm mark is at the corner of the lip. The endotracheal tube is threaded over the bougie while the bougie is stabilized in place. (c) With the bougie held in place, the endotracheal tube is turned a quarter turn to the left and then advanced to an appropriate depth. (d) The tube is held in place while the bougie is withdrawn. Tracheal intubation is then confirmed using capnography or an esophageal detector device.

The LITFL team have scoured the web to find the best collection of online instructional videos known to man or woman to help you ‘own the airway’!

A Change of Direction

Nam

I have taken on a new challenge as team doctor for the Emirates Western Force (EWF) Super XV Rugby Union Team in Perth, Western Australia

SAQ Paediatrics 019

FACEM SAQ

A 2 year old boy presents in status epilepticus for 40 minutes. After witnessing two unsuccessful attempts at intravenous cannulation, his mother becomes distressed and is interfering in the resuscitation.

SAQ Core 024

FACEM SAQ

Compare and contrast the clinical features which differentiate cauda equina syndrome and Guillain-Barré syndrome.

SAQ Trauma 017

FACEM SAQ

A 25 year old man presents to your emergency department following an accidental exposure of the whole of his right hand to a 35% solution of hydrofluoric acid. He has no other injuries.