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This is the description of the Education term.

Bedside Ultrasound for the Diagnosis of Acute Cardiogenic Pulmonary Edema

Have a look at this article by Dr Barber on diagnosing pulmonary edema with bedside ultrasound:

Medical Apps for the Emergency Department

Life in the Fast Lane (LITFL) produces a segment called "Tech Tool Thursday". Have a look at their review of some of the best apps in 2014 for emergency physicians. also lists a variety of essential emergency medicine apps.

Medical Apps for the Emergency Department

Life in the Fast Lane (LITFL) produces a segment called " Tech Tool Thursday".  Have a look at their reviews of some of the best apps in 2014 for emergency physicians.

Weekly Reading List

The Weekly Reading List

... and we're back...

So, 2 months off for Summer, St Paul's Emergency Medicine Update, the birth of my second child.  Things have been quiet here, but not on the Webs.

At ICEM 2012, a group of EM and SoMe (Social Media) thought leaders put their heads together over a pint of Guiness (it was Dublin after all) to come up with the next step in Medical Education in the Wild West we call the Internet.  Thus was born FOAM (Free Open Access Meducation). This was 'shortened' to FOAMed. The goal was/is to provide a loose structure and enhanced usability to the array of EMCC (Emergency Medicine and Critical Care) blogs, podcasts, tools, and resources available on the Web, and to harness that bounty to improve Medical Education. Don't take my word for it, check out the originators:

The first 2 big tools to help harness all this are: - a Google Custom Search Engine (created by yours truly) that ONLY searches EMCC blogs, podcasts, tools and Journals. This is a good first filter, and if you don't find what you need, then you can resort to the full Google. - a realtime RSS feed of all the known EMCC blogs and podcasts.  You can visit the site to see the latest, or subscribe to their integrated, single stream RSS feed.

So, welcome to #FOAMed !

Okay, but what else happened?  Here is a smattering of other good stuff from the web:

Ultrasound for Subclavian Lines - you can do that?  Yes you can!

Dr Ves at CasesBlog points us to the new Guidelines for Management of Acute Bacterial Sinusitis (it's not sexy but it is important)

Does this overdose need dialysis? Review of Extracorporeal Removal Techniques for the Poisoned Patient

Urine Drug Screening - Useful? Part One focusses on Benzos, Part Two on Opiates.

Have you been given a Field Note by a FM resident? Want to know What's up?

Is that cut 'too old' to close? Are you sure? (Journal Link)

ENLS -Emergency Neurological Life Support (What to do in the first critical hour of a neurological emergency). This is a new 'Advanced Life Support' course, but the Protocols and the background info are FREE!  Yay FOAMed.

Erowid - more than anyone needs to know about Psychoactive substances... from a slightly different point of view.

Are you scared of CROCODILEs? A new approach to Pt Safety with Learners in the driver's seat.

Finally, this is just cool!

Enjoy the weekend.

Weekly Reading List


If I say 'it was another busy week on the Internet', will you get that it is ALWAYS a busy week on the Internet?  Let's get at it then.

First, a bit of a rant from Simon Carley at StEmlyn's about the generally poor state of teaching (and use) of Clinical Skills - Does anyone use Ophthalmoscopes anymore?

Staying with a theme, gives us a great synopsis of The Value of Symptoms and Signs in the Emergent Diagnosis of Acute Coronary Syndromes. [The original paper in Resuscitation (2010) is by Richard Body, Simon Carley et al of St Emlyn's - are we getting why this is called social NETWORKING?]

Since we seem to need a refresher on H&Ps and Clinical skills, I will bring the JAMA Rational Clinical Exam Series to your attention once again. [You can access it by using the Library VPNEMLitofNote highlights the latest in the Series When Do Patients Need Blood Cultures?

Here are a few more Skill/Tool related items:

Everything you wanted to know about Capnography (ETCO2 monitors) but were afraid to ask.

The Trauma Professional reminds you that not all pts need O2 - to treat the Pt not the numbers.

Femoral lines are Dirty... or are they?

Got no IV Access, a Central Line seems excessive, and the EX-IO is out of batteries?  Try the 'Peripheral IJ' (There is Gold in the Comments here, so read the whole thing)

Compartment Syndrome is Scary, but so is the Stryker.  The cure for Fear is Education.

Ventilator-Associated Pneumonia is an ICU problem... yer not off the hook just yet - Good Care Downstairs may mean No VAP Upstairs.

I mentioned the new Anticoagulation Guidelines in this weeks Journal Club, and now the fine folks at ALiEM have updated their Paucis Verbis Card for Overanticoagulation and Supratherapeutic INR. [You can get all the PV Cards Here.] St Emlyn's has a great post reminding us why this is important - You Snooze you Ooze.

A few more gems, then I am done:

ALiEM has a new blogger, Brian Hayes PharmD (an ED Pharmacist), and he starts by debunking the Cephalosporin/Penicillin cross-reactivity myths. reminds us that COPD exacerbations can impact more than the lungs.

The Poison Review reminds us that Tylenol is not just Acetaminophen anymore.

US Physics and Knobology made ridiculously easy... mostly.

Finally, if you simply have to have more to read this weekend, the latest R&R in the FastLane is out and full of researchy goodness.


I have more, but even I am going cross-eyed.  Watch for a Special post with a Philosphical bent next week.


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