Category LITFL

The Doct-Aviator

Much has been said about how medicine should strive to emulate the enviable safety record of the aviation industry. This has led to a thorough examination of how the two “industries” compare and contrast. One of the more interesting comparisons…

Role of the Consultant

A simple question – what is the chief function of the consultant? The answer is probably the same, regardless of what you mean by ‘consultant’. In the anglo-antipodean world ‘consultant’ typically means a doctor who has completed their specialty exams…

to err is human 340 256 2

Are you Satisficed?

Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?

C. H. Joseph Chang (1929 - 2017) 340

C. H. Joseph Chang

C. H. Joseph Chang (1929 - 2017) was an American radiologist. Chang sign (CXR finding in pulmonary embolus) decribed in 1965

to err is human 340 256 2

Entrapped

You are handed over a patient by a colleague (that's a 'handoff' to you Yanks)... He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.

CCC Critical Care Compendium 680

Malabsorption DDx

Malabsorption can result from pancreatic enzyme deficiency, bile salt deficiency, defects of the absorptive epithelium and defects in removing absorbed fat from the epithelium.