R&R In The FASTLANE 029
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
Category LITFL
a world of trouble…
The case. A 3 week old infant is bought into your ED late at night. She is febrile and looks incredibly unwell. Her parents report a 36 hour history of increasing vomiting and poor oral intake. She has not had…
a poison puzzler…
the case. 23 year old female is bought to ED by her family after an intentional overdose of ~ 100 ‘diet tablets’ which she ingested 1.5-2 hours earlier.
The Hypocritic Corpus
As I stand over this: Screaming human? Patchwork Scarred Scared Amphetamine fuelled Pulsing rage, With a syringe of midazolam -fantazaslam! Invoking the Mental Health Act, As if I believe in it -The gospel according to psychiatry I realise this does…
R&R In The FASTLANE 028
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
shades of grey…
A few days ago I was looking after a 31/40 gestation restrained passenger from low-speed MVA with a slight seatbelt abrasion in her RIF & mild suprapubic pain. She looked well, HR 70 with BP 108 systolic and no features…
more than man-flu…
The case: 19 year old male who presented as ‘lethargic & generally unwell’ is wheeled into resus. He is so weak it takes 2 staff and his father to lift him from the wheelchair to our stretcher. He looks horrible.…
observing the occult…
The case: A motorcyclist is minding his own business, stationary at a set of lights and is rear-ended by a car at ~60-70km He is thrown 10 meters or so from his bike and lands on his left side. Remarkably…
supply & demand…
Case: 74 year old female is placed in the acute-area of our ED with a complaint of retrosternal chest tightness at approximately 9am. Her symptoms sound very typical for ACS. She looks clammy and pale. My colleague has placed her…
a tonne of bricks…
… well it wasn’t really a tonne; more like a dozen or so individual bricks falling from a height of 3-4 metres that peppered and glanced a patient I saw 48 hours ago. Whilst he presented as a ‘trauma’ and…
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.