Ultrasound Case 089
A woman of 40 presents with intermittent RUQ pain and nausea. You try to find her gallbladder. Wall-echo-shadow (WES) sign The post Ultrasound Case 089 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 14, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: General Surgery TOP 100 Ultrasound Biliary Ultrasound cholelithiasis Gallstones wall echo shadow WES WES sign Source Type: blogs

Co-trimoxazole
CLASS 2 antibiotics (sulfamethoxazole and trimethoprim) MECHANISM OF ACTION sulfamethoxazole -> inhibits bacterial synthesis of dihydrofolic acid trimethoprim -> blocks production of tetrahydrofolic acid -> blocks two consecutive steps in the biosythesis of nucleic acids and proteins essential to bacteria. PHARMACEUTICS PO – each tablet = 80mg trimethoprim and 400mg sulfamethoxazole IV – 5mL contains […] The post Co-trimoxazole appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 13, 2019 Category: Emergency Medicine Authors: Hamish Cadogan Tags: CCC Source Type: blogs

Jellybean 106 Vaccine hesitancy with Margie Danchin
Vaccine hesitancy and vaccine refusal. New York is in crisis. Who is hesitant, who is refusing, what should you do? We asked Dr Margie Danchin. She knows. The post Jellybean 106 Vaccine hesitancy with Margie Danchin appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 13, 2019 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: JellyBean Podcast anti-vaccination anti-vax DFTB2018 Margie Danchin Vaccine hesitancy Source Type: blogs

Funtabulously Frivolous Friday Five 278 – GoT Version
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 278 - Game of Thrones Style The post Funtabulously Frivolous Friday Five 278 – GoT Version appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 12, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF aortic dissection bipolar crapper Fibrodysplasia ossificans progressiva Game of thrones GoT Grey scale John Harrington John Snow Johra Jon Snow King George II King George III Kit Harrington porphyria Targaryen Toilet Source Type: blogs

ECG Mastery: Pauses on the ECG
Have you ever seen pauses on the ECG? In this module, we’ll review when and why to worry...and how to keep your cool. The post ECG Mastery: Pauses on the ECG appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 12, 2019 Category: Emergency Medicine Authors: Sabrine Elkhodr Tags: Medmastery Podcast Pauses Pauses on the ECG Source Type: blogs

Jellybean 105 Emergency Medicine in Zambia
At the moment there is only one public emergency department in Zambia that actually has a trained emergency physician. It only has one. The post Jellybean 105 Emergency Medicine in Zambia appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 10, 2019 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: JellyBean Podcast Mwiche Chiluba SMACC SMACCreach Zambia Source Type: blogs

Ultrasound Case 088
I stepped off my back decking into a hole the dog had carefully manicured in the lawn. A combination of plantar flexion and inversion resulted in a rather swollen ankle you see in the first image. I managed it conservatively but at 6 weeks it still felt a bit boggy and unstable. A case of physician scan thyself The post Ultrasound Case 088 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 10, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: Orthopaedics TOP 100 Ultrasound Ankle effusion anterior talofibular ligament ATFL Musculoskeletal physician scan thyself Source Type: blogs

ECG Mastery: Atrial hypertrophy and low voltage
. Learn how to diagnose atrial hypertrophy and atrial enlargement on the ECG in this video. The post ECG Mastery: Atrial hypertrophy and low voltage appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 8, 2019 Category: Emergency Medicine Authors: Sabrine Elkhodr Tags: Medmastery Podcast atrial hypertrophy LAH Left atrial hypertrophy low voltage RAH Right Atrial Hypertrophy Source Type: blogs

Ultrasound Case 087
A 28 year old with reduced GCS after several seizures requires intubation. Their neck extension seems limited and you wonder whether this may be a difficult intubation. You decide to monitor it with ultrasound. The post Ultrasound Case 087 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 7, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: TOP 100 Ultrasound difficult intubation esophageal intubation esophagus Oesophageal intubation oesophagus Source Type: blogs

Jellybean 104 Emergency Medicine in Chile
Emergency Medicine in Chile. Not to be underestimated. Cesar, Loreto Acuña, Manuela Brinkmann and Josefina Larraín came to SMACC in Sydney where I was waiting to meet them. Have a listen to what this group have to say. The post Jellybean 104 Emergency Medicine in Chile appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 6, 2019 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: JellyBean Podcast chile Josefina Larraín Loreto Acuña Manuela Brinkmann Medicina de Urgencia de Chile ReanimaApp smacc2019 SMACCreach Source Type: blogs

Going back to extremes!
The Leaderboard for 'extremes' from the real world of clinical pathophysiology! The post Going back to extremes! appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 6, 2019 Category: Emergency Medicine Authors: Dr Chris Nickson Tags: LITFL clinical extremes laboratory values parameters pathophysiology Source Type: blogs

ECG Mastery: Cardiac axis
. In this video, they cover the evaluation of the cardiac axis and when knowledge of the axis actually makes a difference to your patient's care. The post ECG Mastery: Cardiac axis appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 5, 2019 Category: Emergency Medicine Authors: Sabrine Elkhodr Tags: Medmastery Podcast cardiac axis ECG Axis ECG Axis Interpretation Source Type: blogs

Funtabulously Frivolous Friday Five 277
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 277 The post Funtabulously Frivolous Friday Five 277 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 5, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF Baumann angle conga drumming gunstock deformity immunosenscence iridodialysis IRIS Levine's sign Lown–Ganong–Levine syndrome march haemoglobunuria Samuel Albert Levine supracondylar fracture Source Type: blogs

Jellybean 103 Butchery and Ethics
@mededgene is a flight paramedic from Vancouver with a soft spot for that soft spot on the front of your neck. You know the one. It has the cricothyroid membrane behind it. The post Jellybean 103 Butchery and Ethics appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 4, 2019 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: JellyBean Podcast Butchery ethics FOAMethics Gene Benoit mededgene smacc2019 SMACCreach Source Type: blogs

Ultrasound Case 086
A 75 year old man with a history of fibrosing alveolitis, on home oxygen presented with chest and neck pain, a strange and altered voice and itchy sensation in his throat, and swelling of his neck. It had gradually worsened over 10 days prior to presentation The post Ultrasound Case 086 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 4, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: TOP 100 Ultrasound lung sliding pneumomediastinum Respiratory ultrasound sliding sign Subcutaneous emphysema Top 100 ultrasounds Valsalva manoeuvre Source Type: blogs