Welcome to the Royal 17th 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 will cast 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.
The Most Fair Dinkum Ripper Beaut of the Week!
- Top spot this week goes to the team at SMART EM with their deep dive into CT Consent. We order and send patients to the scanner every shift, but do we need consent? Who should get the consent… the radiologist or the emergency doctor? What are the radiation risks? Which patients have reactions to the contrast? These issues, with appropriate accompanying numbers, are all nutted out in this month’s podcast.
The Usual Suspects
- Rob “The Budgie Smuggler” Orman is back with a vengeance with this month’s podcast featuring Flutter, Fib, and the mystery of ablation. Each podcast is now provided with a great set of show notes.
- Weingart delivers part 2 of his Acid Base lecture series detailing with a quantitative approach to acid base management He lays out the formula he uses to approach an acid-base problem. See if you can crack the case in the show-notes.
- Passing the Esophageal Temperature Probe — sometimes this can be a BE-ATCH. But all you need is a hook knife, spare ET tube, and the probe… and Bob’s your Uncle.
- “Inferior” ST depression: What is the diagnosis?
- Apparent ST depression in lead III. Is it MI? Sometimes it is, sometimes it isn’t!
- Coved ST elevation with reciprocal ST depression: What is the diagnosis?
- Ketamine Use in Children, can this drug get any more popular?
- Seen Yesterday for Chest Pain — hmm, “remember that patient you saw yesterday”.
Academic Life in Emergency Medicine
- Trick of the Trade: Nebulised … orange juice?. No its not a new treatment for asthma, but for those nasty malodorous smells.
- Paucis Vebis: Asthma classification — A simple guide to classification and management of asthma.
- Video of the week highlights TED talk by Kathryn Schulz On being wrong… Inspiring and thought provoking = worth watching.
- Cliff’s excellent review of the recently published evidence for the use of Intravenous lipid emulsion as antidote.
- Triple marker panel for AMI — a look at the recent published ASPECT study on looking at the validity of using triple cardiac markers to rule out low risk chest pain patients. Are triple-markers the way to go, or are just tolling more Bayesian dice?
- Prevention and management of hemorrhage after paediatric button battery ingestion — obviously, its a must read if Leon gives it 4.5 out of 5 stars.
- “Party pills”: review of BZP and TFMPP highlights two of the new bad boy street drugs out on the scene.
- Dinitrophenol: fatal occupational exposure — look for the signs and symptoms of acute DNP toxicity; they include headache, anxiety, nausea and vomiting, diarrhea, hyperthermia, diaphoresis, coma, and death.
- Niacin overdose causes metabolic acidosis and hypoglycaemia,— The bottom line: don’t try to hide smoking pot from your old man!!!
- Joe’s talk of week is by Robert McNamara looking at Career Longevity. How can we avoid being a fast burning candle?
The Rest Of The Best
- Simple hand laceration? I think not!
- Death telling — its an art with little science behind it.
- Is it V-tach? or is it SVT with bundle branch, and sinus tachycardia with bundle branch or with WPW?
- X-ray Quiz: Foot pain — where is the fracture? The answer is in the axial view of the calcaneous.
- Trauma 20 Years Ago: Continuous Epidural Analgesia for Rib Fractures. How times have changed.
- How Significant is Pneumomediastinum in Children? It significantly increases your anxiety levels, and diagnostic test…But is the necessary?
- The Gnome gets into the wedding spirit with a post o, Wedding fever, and the infectious complications from eating at a wedding reception. There’s nothing royal about this post!!!
- Another Satisfied Customer? Patient Satisfaction is a worthy goal to pursue, but it’s not an easy one to achieve.
- Why our emergency departments keep getting busier. On average we are seeing a 7% increase in patient presentations each year, what will the future hold?
- Which is your favourite medical website? You be the judge…take the survey… buy onlu if you’re going to choose the LITFL option!
- Do we treat life threatening presentations immediately? Have to agree with Ian’s comments, seems a lot of “statistical cleansing” has occurred here.
- Treating atrial fibrillation in athletes = Tough choices!!
- Friday Reflections: Patient Satisfaction? . Take home point: “You catch more flies with honey than vinegar.”
- Tips and Tricks for the Pelvic View During the FAST Exam .
Twee-D and Twitical Care
Some fine words of advice by @Bungeechump
News from the Fastlane
- Mike and Chris feature at the end of this month’s EMRAP: Educators Edition explaining what LITFL is all about. The two of them demonstrate that they have faces for radio and voices for blogging as they explain how it all began, where they met, and what LITFL is all about.
- Check out the Facebook page and take this weeks quiz on ‘What is Life in the Fast Lane?’
- Interested in International Emergency Medicine? Check out these resources: International Emergency Medicine (Australasia) Facebook page and LITFL’s new International Emergency Medicine section.
The Final Words
- The doctor is a person who still has his adenoids, tonsils, and appendix.
— Lawrence J. Peter
- You recognize a surgeon or an ob-gyn because he has blood on his shoes, a urologist because he has urine on his, and an anesthetist because on his you see spots of spilled coffee.
That’s it for now… Hopefully this roundup of the world of electronic emergency medicine and critical care education for everyone helps you to deal with anyone, anything, anywhere at anytime for at least another week!
If you’d like to suggest something for inclusion in the next edition of The LITFL Review, email our roving reporter:
kane AT lifeinthefastlane.com