Ten Commandments of Emergency Medicine
The ten commandments of Emergency Medicine according to Wren and Slovis. Thinsg have changed, but how much?
Category Medical Specialty
Jean-Baptiste Octave Landry
Jean-Baptiste Octave Landry de Thézillat (1826 - 1865) was a French physician. Landry ascending paralysis (1859) as early description of Guillain–Barré syndrome (1916)
Own the Chest Tube!
The LITFL team have scoured the web to find the best collection of online instructional videos known to man or woman to help you 'own the chest tube'!
Another TCA overdose!
A classic overdose for you to ponder in classic Q&A style, which incidentally marks the 50th toxicology conundrum on LITFL!
Alprazoslammed
An ingestion of 100mg of alprazolam... Boring benzodiazepine or badness brewing? Find out in this case-based series of questions-and-answers.
Portal vein thrombosis
Portal vein thrombosis: thrombus formation in the portal vein +/- tributaries (superior mesenteric vein, IMV and splenic vein)
Spontaneous Bacterial Peritonitis
Spontaneous Bacterial Peritonitis: often occurs in patients with severe hepatic dysfunction -> should lead to transplantation consideration if appropriate
Portal Hypertension
Portal Hypertension = increased resistance to flow through liver -> shunted around the other collateral vascular beds; the most common complication of cirrhotic liver disease
Hypokalaemic Periodic Paralysis
Hypokalaemic Periodic Paralysis; rare channelopathy; muscle weakness/paralysis with a matching fall in K+ levels; starts in adolescence; weakness may be mild -> full body paralysis
Leptospirosis
Leptospirosis is an infection caused by the spirochaete genus of Leptospira. Severe forms may result in critical illness, including Weil disease and severe pulmonary haemorrhage
Spinal Injury Patient Hot Case
GENERAL APPROACH INTRODUCTION CUBICLE INFUSIONS VENTILATOR MONITOR EQUIPMENT QUESTION SPECIFIC EXAMINATION -> scars, surgical wounds, drains-> motor level: myotomes, spinal reflexes, limbs and abdominal muscles, return of bulbocaveronsus reflex (resolution of spinal shock)-> sensory level: dermatomes, sensory tracts (dorsal columns,…
Obstetric Patient Hot Case
GENERAL APPROACH Illness requiring ICU admission Pregnancy + Baby Delivery – when or already done INTRODUCTION CUBICLE CTG presence of midwives INFUSIONS PET: MgSO4, phenytoin, hydralazine, GTN pre-term labour: tocolytics, steroids thromboembolism: heparin bleeding: blood products, fluid boluses, TXA cardiogenic…