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Life in the Fast Lane • LITFL • Medical Blog

Emergency medicine and critical care medical education blog

Four Hour Rule

A Mortal Battle with Four Hour Medicine II

by Michelle Johnston, Last updated May 13, 2016

A Mortal Battle with Four Hour Medicine II

aka To Err is Human 003.2 ACT II And an epilogue As the curtain pulls back on the remaining act of the production, we recapitulate the essence of the original post. It framed the potential for error, in an exceedingly error prone environment. So we’ll examine one further term, one that Patrick Croskerry has taken and sculpted into his own, relevant to this … [Read more...] about A Mortal Battle with Four Hour Medicine II

A Mortal Battle with Four Hour Medicine

by Michelle Johnston, Last updated May 13, 2016

A Mortal Battle with Four Hour Medicine

aka To Err is Human 003.1 A Post in 2 parts... Act 1: The Existential Installment. Act 2: The Clinical Section. WITH a cliffhanger. The Scene The heartland of the four hour rule, a tertiary emergency department trauma centre, showcased the world over for its early and aggressive adoption of the four hour target, where overseers donning clipboards are omnipresent, … [Read more...] about A Mortal Battle with Four Hour Medicine

Signs of Imminent Admission

by Chris Nickson, Last updated May 20, 2016

Having trouble complying with the new 4 picosecond rule introduced by UCEM? Do not fret, you can improve your department's efficiency a thousandfold by religiously employing the 'Signs of Imminent Admission' as a disposition decision aid. Vital signs: Pulse oximetry < Age Blood pressure < Age Age > Body temperature (Fahrenheit) 'Unable to measure' is … [Read more...] about Signs of Imminent Admission

The Evolution of Utopian Medicine

by Dr Mike Cadogan, Last updated October 9, 2017

Defining the history of Utopian Medicine and the Utopian Intervention Zone can be challenging. Sir Hubert Ignatius Thompson has commissioned this graphical representation to outline the pertinent factors influencing the meteoric rise of the Utopian Medicine movement. This 'soundless' impression demonstrates the embodiment of the Utopian movement and is best viewed in 'Full … [Read more...] about The Evolution of Utopian Medicine

The Four Hour Rule comes to Australia

by Dr Mike Cadogan, Last updated May 18, 2016

WA health has taken another bold step in its continued quest to drive 'long term system wide reform' and implement strategies which will enhance the patient experience and 'flow' through the turbulent waters of 'unscheduled care'. WA health has acknowledged that a radical change and expansion of improvement measures is required to have a significant impact on the increasing … [Read more...] about The Four Hour Rule comes to Australia

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