A 25-year-old lady Miss. Poor Compliance is rushed into your Emergency Department as a Priority 1. She is a brittle asthmatic and has been given 3x 5mg salbutamol nebs, and 0.5mg of adrenaline IM prehospital. On arrival Miss PC is sitting forward in the tripod position, using her accessory muscles to breath. She is tachypnoeic, […]
LITFL Blog Archive
Everyone who works in ED or ICU should read Alicia von Stamwitz’s brief but moving account of her father’s last visit to the emergency department: The doctor explains what I already know: my father’s heart is weak, his kidneys are failing and his lungs are filling with fluid. For the second time in six months, […]
To all affected by the Christchurch earthquake, the thoughts of the Life in the Fast Lane team are with you.
A few years ago I was looking after an elderly woman in the emergency department who had suffered a stroke. She was aphasic — unable to understand speech or create comprehensible sentences.
The popularity of the Kokoda Trail has increased dramatically over the last decade. More and more Australians are making the arduous trek through the muddy, steep terrain of the Owen Stanley Range in Papua New Guinea.
Mr Ivor Plank attended the Emergency Department on the weekend having developed a painfully strong bond with an expensive piece of skirting board…Clinical review of nail gun injuries presenting to emergency departments and the management of penetrating nail injury.
A 32 male presents to the ED following a hefty collision with another player during a football game. During the altercation he sustained a direct blow to the medial aspect of his left knee. On examination the patient is lying on a trolley in considerable pain, you look at the left kneecap and noticed it’s […]
Case study: 16 year old boy arrives at triage holding his left arm adducted close to his chest and supporting it with his right hand. He sustained an injury to his left shoulder during a ‘wrestling’ encounter with his older brother On examination he was moderately distressed with a pain score 5/10. Palpation revealed pain […]