Bubbles in the Wilderness

There have been many discussions and debates about the role of FOAM (free open-access meducation) in medical education, the pros, the cons and whether or not it really is useful.

It may not be for everyone, yet for some individuals – especially those who are remote or isolated – FOAM has transformed how they learn, engage and enjoy medicine. A great example of this — one the RAGE team recommends you read — is Natasha Pirie-Burley’s account, Bubbles in the Wilderness: All about FOAM, published on the Adventure Medic blog.

“In 2007 I struggled to find my passion or heroes within my workplace. I listened to closed minds and wondered why everyone was, “just getting through it”. It was un-inspiring and at times depressing. I resigned from my job in the UK and headed to the wilderness of America, New Zealand, Nepal, and Australia. I was searching for heroes and inspiration relevant to my life. Then last year, by chance, I found that Mawson’s bravery, Shackleton’s leadership, Dean Potter’s composure and the family Robinson’s ingenuity were right here at my fingertips and living in these medical pioneers of FOAM.”
— excerpt from Bubbles in the Wilderness: All about FOAM by Natasha Pirie-Burley

Vive la FOAM!

Punk Rock, Top Gun and the Resus Room

Some time back I wrote about the amazing career of Deniz Tek in Top Gun and Punk Rock in the ER. So it was a real thrill when I contacted Deniz and he agreed to present at smaccGOLD.

Deniz gave an engaging talk titled ‘Punk Rock, Top Gun and the Resus Room’, one that he is uniquely qualified to give. He talked about the parallels between combat aviation complexity and care of the critically ill. He highlighted the importance of checklists (not just for the routine, but even more so for emergencies), communication, teamwork and being prepared to do what is necessary, when it is necessary.  Indeed, a recurring theme at smaccGOLD was that it is, paradoxically, the ‘unsexy’ stuff that matters.

What about the parallels with ‘punk rock’?… Listen to the talk to find out! Here is the audio (download mp3):

Deniz also inspired this creative description of the smaccGOLD conference itself by Jesse Spur on Injectible Orange:

“SMACCGOLD 2014 on the Gold Coast was like punk rock. Subversive, political, honest, rough at the edges and committed to thrashing out the issues that matter. Ironically, on further reflection, the second installation of Social Media and Critical Care Conference struck me as having parallels with one of my favourite speakers of the program, Deniz Tek himself – older and wiser than the Radio Birdman days, more accessible to the mainstream, less likely to punch you for disagreeing, but still able to excite, destroy unfounded dogma and put on a world class show.”

Jesse also had this footage of Deniz on stage in the SMACC lounge:

To listen to all the smaccGOLD talks as they are released subscribe to the SMACC podcast on iTunes or Libsyn. See you in Chicago — SMACC Chicago 23-26 June 2015.

 

References and links

Submassive PE on EMCrit

Back in RAGE Session Two we discussed ‘Thrombolysis for Submassive Pulmonary Embolus’. This was actually just before the PEITHO trial was published, though we were able to anticipate many of the findings thanks to the wonders of the web.

A great follow up to our discussion is EMCrit Podcast 128 – Pulmonary Embolism Treatment Options and the PEAC Team with Oren Friedman. This discussion reiterates many of the conclusions the RAGE team came to, with additional discussions about catheter-directed thrombolysis and reduced dose thrombolysis.

Meanwhile, the NEJM has just published correspondence in response to the PEITHO trial -it  includes a comment about half-dose thrombolysis by Rory Spiegel, myself and Ryan Radecki.

Cases from the Races

The RAGE team’s John Hinds gives the medical perspective on high speed motorcycle racing on closed private roads in Ireland at smaccGOLD. Of note, is the use of rapid response motorcycle medics to get to the scene fast, in the first few seconds of the dying process, to save lives.

This talk stole the show at SMACC, you are about to find out why.

Here is the audio (download mp3):

Here are the amazing slides:

To listen to all the smaccGOLD talks as they are released subscribe to the SMACC podcast on iTunes or Libsyn.

This is another version of the ‘Cases from the Races’ talk given by John Hinds – it is a fantastic video… a must watch!