Comments for Life in the Fast Lane • LITFL https://litfl.com/ Emergency medicine education and critical care education blog Tue, 03 Jun 2025 08:42:26 +0000 hourly 1 https://wordpress.org/?v=6.8.1 Comment on The Best Online Echocardiography Courses by Chris Dovik https://litfl.com/the-best-online-echocardiography-courses/#comment-31149 Tue, 03 Jun 2025 08:42:26 +0000 https://litfl.com/?p=277861#comment-31149 There’s a great resource on https://ultrasoundbox.com/sfa which focuses on LVF assessment. Does anyone know of similar POCUS quizzes online?

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Comment on Lewis lead by Bereket. https://litfl.com/lewis-lead-s5-lead/#comment-31142 Sun, 01 Jun 2025 15:43:14 +0000 https://litfl.com/?p=253693#comment-31142 Great website to look things up.

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Comment on ECG Case 129 by Βαγγελης Παπαματθαιου https://litfl.com/ecg-case-129/#comment-31088 Mon, 26 May 2025 06:43:26 +0000 https://litfl.com/?p=248395#comment-31088 I’m under the impresion that the apical segments and the apex, though not clearly visualised, are hypocinetic…

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Comment on Adrenaline or epinephrine? by Godrey Mann https://litfl.com/adrenaline-or-epinephrine/#comment-31071 Fri, 23 May 2025 18:10:18 +0000 https://litfl.com/?p=231763#comment-31071 Superb! I always knew deep down that epinephrine was some how incorrect and now I can explain why. Thank you.

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Comment on Procedure: Thoracotomy by David Gray https://litfl.com/thoracotomy/#comment-31066 Fri, 23 May 2025 12:47:40 +0000 https://litfl.com/?p=265215#comment-31066 Fantastic and simple video! I’ve been looking everywhere for a simple video of this procedure and this is exactly what I was looking for.

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Comment on Lung ultrasound: Malignancy by Ifeanyi Victor Chibueze https://litfl.com/lung-ultrasound-malignancy/#comment-31065 Fri, 23 May 2025 06:36:40 +0000 https://litfl.com/?p=198225#comment-31065 I couldn’t see any literature on lung malignancy upon clicking. Guess it has not been created yet?

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Comment on Lung Ultrasound Technique – Overview by Ifeanyi Victor Chibueze https://litfl.com/lung-ultrasound-technique-overview/#comment-31064 Fri, 23 May 2025 04:20:55 +0000 https://litfl.com/?p=182246#comment-31064 Thanks alot for these lectures. I really do appreciate them as I feel I have come to a place where I can relax, and learn alot about if not everything concerning lung ultrasound, then the basics, as that would make me extremely grounded in what I would need for subsequent buildups.

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Comment on Left Bundle Branch Block (LBBB) by Aung Min Oo https://litfl.com/left-bundle-branch-block-lbbb-ecg-library/#comment-31061 Thu, 22 May 2025 14:03:13 +0000 https://litfl.com/?p=176787#comment-31061 Thank you so much! The illustrations are very informative!

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Comment on Oxygen and Carbon Dioxide Retention in COPD by Blake https://litfl.com/oxygen-and-carbon-dioxide-retention-in-copd/#comment-31039 Tue, 20 May 2025 00:54:54 +0000 https://litfl.com/?p=191176#comment-31039 In reply to Steve.

It would definitely increase shunt. But in order to increase shunt it probably takes other well matched flow from well ventilated areas of the lung, which would be now relatively over ventilated – thereby creating dead space. That is my assumption.

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Comment on Procedure: Postpartum haemorrhage by James Miers https://litfl.com/emergency-procedure-postpartum-haemorrhage/#comment-30975 Sun, 11 May 2025 22:20:44 +0000 https://litfl.com/?p=269824#comment-30975 In reply to Etwell Mari.

Thanks for the comments. Happy to have your help in a review and update. We have tried to emphasis compression, quick use of avialable medications and theatre rapidly. Keen to hear your ideas. Emailing you privately.

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Comment on Procedure: Central Venous Catheter (IJV) by James Miers https://litfl.com/procedure-central-venous-catheter-ijv/#comment-30974 Sun, 11 May 2025 22:05:02 +0000 https://litfl.com/?p=282359#comment-30974 In reply to J.P..

Hi J.P, James here from Emergency Procedures. I’m afraid I don’t understand your comment but I would like to. Message me at james@emergencyprocedures.org. Maybe you culd sent me a linkg to the technique? I don’t follow how you would use the EKG like this. Thanks for the comment.

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Comment on Procedure: Postpartum haemorrhage by Etwell Mari https://litfl.com/emergency-procedure-postpartum-haemorrhage/#comment-30968 Sun, 11 May 2025 03:24:09 +0000 https://litfl.com/?p=269824#comment-30968 Hello all
Thanks for a good go on PPH
The video can be improved by making it more real – examiner with gauze in examination hand (right). The examiner to maintain firm pressure and massaging fundus.(The close the Tap – Toniquet the spiral artery approach)

The SR. MARCH-OT approach like we approach any major haemorrhage. Compression of the bleeding site and uterotonic compression effect – imi uterotonic all given as soon as baby is out – serial use or use combination and early TXA 1g IVI as soon as IVC is in.

Happy to help add & edit on your next version
Reach out etwellmari@gmail.com.

We need to add – Massive PPH Haemorrhage & transfusion management-
The SR. MARCH – OT approach and the early TXA, fibrinogen and RoTEM / TEG in tertiary units. The fresh whole blood as the best resuscitation and replacement fluid. No room for crystalloids in massive haemorrhage. The Lethal triage in Massive haemorrhage and the coagulopathy cascade.

Read – The Paradigm shift in severe PPH management (etwell.m a al )

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