Sending you free open-access medical (FOAM) content from around the globe. We keep an eye on all the trends and best articles and share them with you so that you stay top of your field.
ECG Case 140: A semi-professional rugby player is reviewed for a routine pre-participation screening. He reports no symptoms, takes no regular medication, and has no family history of sudden cardiac death.
McBurney Point: Original description, evolving anatomical definitions, diagnostic significance, and historical misconceptions in appendicitis.
Spit, Scratch, Splash, Stick: A patient spits in your eye. Another scratches a nurse. Blood splashes onto a mucous membrane. Then a hollow-bore needle goes through a glove. All four scenarios prompt the same question: “Do I need HIV PEP?”
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Renal tubular acidosis can be challenging to recognise and interpret in the ED. This excellent case-based article from Stronger Medicine breaks down the underlying physiology, potassium abnormalities, and normal anion gap metabolic acidosis. It provides a practical, stepwise approach to identifying the different types of RTA. A fantastic read for sharpening your acid–base interpretation.
Ever wondered exactly how a coronary artery occlusion changes the 12-lead ECG? Dr Cliff Reid has developed an outstanding free interactive learning tool that connects coronary anatomy, ECG changes, and bedside echocardiography. Explore evolving infarctions, identify culprit arteries, and challenge your decision-making through realistic clinical scenarios. A brilliant resource for anyone working in emergency and critical care.
Not every pneumonia is an infection, and not every gastro is gastroenteritis. Immunotherapy complications can mimic common ED presentations, including myocarditis, pneumonitis, colitis, and adrenal crisis. This excellent ACEP Now article highlights why recognising immunotherapy-related emergencies early can be lifesaving.
In this excellent ECG teaching case, Dr Lloyd Tannenbaum explores accelerated idioventricular rhythm (AIVR) – a rhythm that can look alarmingly like ventricular tachycardia but often requires observation rather than treatment. A great reminder that recognising the rhythm, understanding the underlying physiology, and resisting the urge to reach for medication can be just as important as knowing when to act.
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Emergency nurse with ultra-keen interest in the realms of toxicology, sepsis, eLearning and the management of critical care in the Emergency Department | LinkedIn |
BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital. Passion for rugby, medical history, medical education, and asynchronous learning #FOAMed evangelist. Editor-in-Chief and Webmaster of Life in the Fast lane, LITFL | On Call 4e| Eponyms | Books | Horology |