Category LITFL

just a tablespoon…

This is the story of a 59 year old man who presented to our ED with a complaint of haemoptysis. He is otherwise well, takes no regular medications and besides his ’50 per day’ smoking history (over 40-odd years) he…

The audacity of FOAMed

Mike Cadogan raising a glass to the audacity of FOAMed. Image created by underneathEM.com author Domhnall Brannigan (after Shepard Fairey and commissioned by Chris Nickson). Mike has just written an explanatory piece on the birth of FOAMed on LITFL.com here.

broad, fast & regular…

There are some things in medicine that I feel require a standardized approach for rapid diagnosis & management, especially in the face of an unstable patient & you have a little sweat on your brow. The following are two somewhat…

Research and Reviews in the Fastlane 340

R&R In The FASTLANE 027

Research and Reviews (R&R) in the FastLane: experts worldwide tell us what they think is worth reading from emergency medicine and critical care literature

Three hospitals in parallel dimensions

There exist three hospitals in parallel dimensions. This may be the root of all service delivery problems in public healthcare systems, including the spectre of access block. A bold statement, I know, but read on… The idea of three parallel…

first time wheezer…

I have recently heard the quote, “the eyes do not see what the mind does not know” & feel it is incredibly applicable to this particular case, which some of you may have seen recently in one of my Tweets.…

LITFL rebuild 2019 340

LITFL in perpetuity

You may have noticed a little purple box appearing in the right sidebar - this is the Pandora search box. We are honoured to announce that Life in the Fast Lane is now being archived by the National Library of Australia (NLA)

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Fingertip Injury

A guide to the assessment and management of common finger tip injuries in the emergency department.

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Another Ankle Sprain

A 23 year-old female netball player presents c/o pain and swelling to her right ankle post playing netball. Does she meets the criteria for X-ray to rule out a fracture?

burn blister drainage

Minor Burn Management

26 female present to ED after spilling a hot sauce pan of soup onto her left forearm. The patient states that the soup has just been boiled when the accident occurred 20mins before arrival.

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Case of Commotio Cordis

Ventricular fibrillation and sudden death triggered by a blunt, non penetrating, and often innocent appearing unintentional blow to the chest without damage to the ribs, sternum, or heart (and in the absence of underlying cardiovascular disease) constitute an event know as commotio cordis, which translates from the Latin as agitation of the heart.