The LITFL Review 078 - Life in the Fast Lane medical education blog

Welcome to the extravagant ?77th 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 casts 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 to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.

The Most Fair Dinkum Ripper Beaut of the Week

• The Ripper of the week title is taken out by Reuben over at Emergency Medicine Updates?with his mind blowing post on??The Usual State of Readiness. In this?Rueben?discusses ?the concept of having cognitive readiness in ?critical situations, and says most of this can achieved through practicing invisible simulation. Remember:?Memory fails when catecholamines are?high; planning for emergency scenarios involves the development and deployment of emergency references.

The LITFL Review Top Picks

?Emergency Physicians Monthly

UMEM Educational Pearls

This weeks pearl is from EMCC guru Michael Winters on?The Lung Transplant Patient in Your ED:

• The number of lung transplant recipients is increasing.? With improved immunosuppressant medications, pts are living longer.? In fact, the 5-yr survival rate is now approximately 60%.
• When evaluating a lung transplant pt who is < 1 yr following transplant, think about?acute rejection?and?infection
• Acute rejection occurs in up to 40% of pts, can present with cough, SOB, malaise, or hypoxia, and is treated with high-dose corticosteroids.
• Infection
  • Bacterial infections usually occur in the early stages following transplant, with?Pseudomonas?the predominant organism
  • CMV is the most common organism affecting up to 33% of pts during the first year after transplant

The Poison Review

EmergencyLondon

This weeks grand round is by Ryan Arbeau presenting on The Disabled Athlete?

Radiology Signs

• Subacute subdural haematoma?-?can be difficult to identify on non-contrast CT as the blood is isodense to brain parenchyma (the same density).

• Ankle ABC?s. A nice neat approach to reducing ankle fractures. Do you X-ray before or after reduction?

• What does A Bad Haircut?and emergency medicine have in common? A lot actually?Worth reading especially junior doctors and nurses!

• Steve provides us with a great introductory podcast into?Non-invasive Ventilation, from when to, how to, and when not to use NIV!

• Interesting Case: The Answer- The dang factor strikes again!
• The Chest Tube Autotransfuser?-?Bottom line: Although shed blood from the chest looks like whole blood, it?s missing key coagulation factors and will not clot. Reinfusing it will boost oxygen carrying capacity, but it won?t help with clotting.

KeeWeeDoc

Dr Smith?s ECG Blog

Broome Docs

The LITFL Review Shout Out of the Week

thebluntdissection

This weeks shout-out goes to new Aussie blogging sensation- Chris Partyka over at?thebluntdissection. Chris is a training ED Doctor with a passion for resuscitation, ultrasound and education. Check some of Chris? post below;

Twee Dee and Twitical Care

News from the Fastlane

• Michelle put us on our toes and?challenges?us ethically in?Household Words Chapter 1.
• Chris provides us with a fascinating video from Ben Goldacre on?Bad Pharma?- A must watch!
• Unfortunately?no LITFL Review next week as I will be busy over at?ICEN 2012.

The Final Words

• ?A true leader has the confidence to stand alone, the courage to make tough decisions and the compassion to listen to the needs of others. He does not set out to be a leader but becomes one by the quality of his actions and the integrity of his intent.?

?-Douglas MacArthur

• ?Patients don?t come to us for judgement. They come to us for care.?

-Greg Henry

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 kane AT lifeinthefastlane.com

LITFL Review EM/CC Educational Social Media Round Up

123Sonography.com???Academic Life in Emergency Medicine???Adventure Medicine???A Life at Risk???All LA Conference???Al Sacchetti?s Youtube???Bedside Ultrasound???Better in Emergency Medicine???Broome Docs???CCM-L.org???CLIC-EM???Critical Care Perspectives in EM???Dave on Airways??DrGDH???Dr Smith?s ECG Blog???ECG Academy??ECG of the Week?ED Exam???EDTCC???EKG Videos???EM Basic???EM Core Content???EMCrit???Emergency Medical Abstracts??EMERJENCYWEBB??EmergencyLondon???Emergency Medicine Cases???Emergency Medicine Education???Emergency Medicine News???Emergency Medicine Ireland???Emergency Medicine Tutorials?Emergency Medicine Updates??Emergucate??EM Literature of Note???empem.org? ??EMpills? ??Emergency Physicians Monthly???EM Lyceum???EMProcedures???EMRAP????EMRAP: Educators? Edition???EMRAP.TV????ER CAST???Free Emergency Medicine Talks???GMEP???Gmergency!????Greater Sydney Area HEMS???HQmeded.com? ??ICU Rounds???Impactednurse???Intensive Care Network??iTeachEM?-?Keeping Up With Emergency Medicine???KeeWeeDoc???LipheLongLurnERdok? ??MDaware???MD+ CALC? ??MedEDMasters? ??Medical Education Videos???Medicina d?urgenza???Medicine for the Outdoors???Micrognome???Movin? Meat???Neurointensive Care???Pediatric EM Morsels???PEM ED???PHARM???Practical Evidence??Priceless Electrical Activity???Procedurettes???PulmCCM.org???Radiology Signs???Radiopaedia???Resus.com.au???Resus.ME???RESUS Room???Richard Winters? Physician Leadership???SCANCRIT???SCCM Blogs????SCCM Podcast???SEMEP???SinaiEM???SinaiEM Ultrasound????SMART EM?????SonoSpot???StEmylns???Takeokun???thebluntdissection?The Central Line???The Ember Project??The Emergency Medicine Resident Blog????The NNT? ??The Poison Review???The Sharp End???The Short Coat????The Trauma Professional?s Blog???The Underneaths of EM???ToxTalk???TJdogma???Twin Cities Toxicology???Ultrarounds???Ultrasound Podcast???UMEM Educational Pearls? ??Ultrasound Village

Source: http://lifeinthefastlane.com/2012/10/the-litfl-review-078/

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