Brain Dead?

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A baffling case of apparent brain death… Can you work out what has happened?

Toxicology Social Media Shout Outs

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The LITFL team gives a shout out to three great new toxicology resources: Twin Cities Toxicology, ToxTals and the ACMT podcast.

A Fumbling, Mumbling Mess!

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A puzzling case of drug-induced delirium. Can you solve the mystery?

Paracetamol-induced hepatotoxicity

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A 49-year old lady presents to a rural Australian hospital with paracetamol-induced hepatotoxicity. Can you predict whether she is likely to need liver transplantation (and therefore urgent aeromedical retrieval)?

Massive Propranolol Overdose

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A 27-year old female presents to ED one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with a heart rate of 46 bpm. Fifteen minutes earlier she had been awake and able to give a history to paramedics… You need to act fast to save this patient. Are you up to the challenge?

R&R in the FASTLANE 002

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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.

R&R in the FASTLANE 001

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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.

SAQ Core 025

FACEM SAQ

Scenario A 55 year old man collapses on emerging from the water after snorkelling on a Queensland beach. He is rapidly transported to the emergency department Question a. List your differential for this man’s condition (30%) b. Outline the features on your assessment that would indicate a marine envenomation (70%) Answer Answer and Interpretation FACEM [...]

A Scenic Route to Emergency Medicine

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At LITFL we are constantly trying to find interesting and enigmatic individuals with a passion for emergency medicine to share their experiences. We have a particular passion of International Emergency Medicine and are proud to introduce Dr Bishan Rajapakse.

Sulfa Drug Discombobulation

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Is it safe to give a patient frusemide if he has an allergy to sulfa drugs? Are you feeling slightly immunologically discombobulated? The answer’s here.