The FOAM project – more than the sum of it’s parts!

Mike Cadogan (@sandnsurf on Twitter, http://lifeinthefastlane.com , https://gmep.imeducate.com) is taking mighty leaps for mankind in creating a grand unifying resource for medical education (and particularly Emergency Medicine and Critical Care) by running with the FOAM concept germinated at ICEM 2012 over a pint or two of Guinness. He has coalesced the world of EM/CC blogging here: http://lifeinthefastlane.com/2012/08/foam-emcc-bloggers/

For those who say, “FOAM, what’s that?” I will explain – we believe FOAM is the future of medical education and asynchronous learning, and stands for Free Open Access Meducation

Mike’s groovy little FOAM logo

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Posted in Education, FOAM (free open access meducation), Medical Musings | Leave a comment

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There is ST elevation in I, II and aVF (i.e. missing out III) and V5 and V6 (and a hint in V4). There is apparent ST depression in aVR, but as some of you point out, this actually represents PR elevation. Of note, III is NOT elevated, which makes an inferolateral STEMI pretty unlikely. One might also expect some ST segment depression in aVL, and clearly there is none. As mentioned in one comment, there is likely to be left atrial abnormality with an asymmetrically bifid P-wave most marked in II. The first TnT was 16….now what? Do you activate the cath lab? Is it clearly pericarditis, or could it be STEMI? Give me a plan…

the underneaths of EM

This 53 year old man is an ex-smoker, with HTN well controlled by a single agent.
He presented to the ED under duress from his wife and GP with intermittent atypical pain which is sometimes worse with exertion, has a slight pleuritic variation, and radiates to shoulders. He mentions a more severe pain 2 days ago lasting a couple of hours with onset at rest. This was preceded by about three weeks of occasional slight exertional dyspnoea and chest tightness.
This is his ECG with mild residual discomfort:

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What are your thoughts?

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Posted in Cases, ECGs, Education | 2 Comments

#ACEMWS2012 – The ACEM Winter Symposium from Cairns

The Twitter newbie @yarcusmong did a wonderful job of tweeting the recent Winter Symposium of the Australasian College for Emergency Medicine from Cairns. A snapshot of the analytics looks like this:

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The full analytic and the transcript of the Twitter conversation can be accessed at the symplur website here, and customised as required.

Posted in Education, Medical Musings | Leave a comment

Not all ST elevation is STEMI

This 53 year old man is an ex-smoker, with HTN well controlled by a single agent.
He presented to the ED under duress from his wife and GP with intermittent atypical pain which is sometimes worse with exertion, has a slight pleuritic variation, and radiates to shoulders. He mentions a more severe pain 2 days ago lasting a couple of hours with onset at rest. This was preceded by about three weeks of occasional slight exertional dyspnoea and chest tightness.
This is his ECG with mild residual discomfort:

20120730-225444.jpg
What are your thoughts?

Posted in Cases, ECGs, Education | 10 Comments

@sandnsurf accessing his brain at #icem2012

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Posted in Education, FOAM (free open access meducation), Funny haha, Funny Peculiar, Photography | 1 Comment

#ICEM2012 – new wave in distance medical education

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Posted in Education, FOAM (free open access meducation), Medical Musings | Leave a comment

The #ICEM2012 twitter crew

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Posted in Education, FOAM (free open access meducation) | Leave a comment