Back to the Future

22 Feb

Before we move on to “flip the guideline for Sympathetic Crashing Acute Pulmonary Edema” first something which could be “life changing” for a lot of Emergency Physicians in the Netherlands! The future of Emergency Medicine Education!


When you talk about the future of Emergency Medicine Education you talk about (LITFL) (headed by Mike Cadogan & Chris Nickson) and in particular FOAM! If you think FOAM is some sort of shampoo or deodorant then this is the post for you!


FOAM stands for “Free Open Access Meducation”. As you can read on LITFL, the term was coined in June 2012 in Dublin during ICEM 2012….over a pint of Guinness. So alcohol can make the world a better place! FOAM includes blogs, podcasts, tweets, Google hangouts, online videos, texts….etc. So where one was used to read books, now he or she will listen to the greatest podcasts in the car of while practicing for the marathon!  FOAM is reviewed weekly in The LIFTFL Review. It’s all free and you will be amazed by the great quality and quantity of information that is there for the taking! If you are a twitter fanatic you can follow the hashtag #FOAMed…..if you are not on twitter, start using it and increase your (international) network!

FOAM is still improving and they are coming up with new stuff every time!

For example SMACC, which stands for “social media and critical care”. This is a conference in Sydney from March 11-13, which can be joined physically or virtually. 2 things about SMACC: SMACC Talk & SMACC Club!


SMACC TALK??? This is how it works:

The objective of this competition is to encourage anyone involved in critical care to become a contributor to FOAM (Free Online Access Meducation).

Here’s how it works:

  • you create a talk
  • the talk has to be 6 minutes 40 seconds long
  • the talk has to have 20 slides
  • that means you average 20 seconds per slide
  • you create a video of the talk
  • you submit it at
  • they post the videos on the SMACC vimeo/youtube channel
  • they judge the videos and give out prizes!

For some examples of SMACCTalks take a look over here:

Then SMACC Club. This is a chance for anyone anywhere in the world to take part in the SMACC conference online, whilst championing the critical appraisal of the emergency medicine and critical care literature. Here are the rules (from

  1. The first rule of SMACC CLUB is that you MUST talk about SMACC CLUB!
  2. Yeah, you know the second rule …
  3. If someone says “stop” or goes limp, taps out the critical appraisal is over.
  4. Only 2 to 5 people to a team.
  5. One day to remember: 1st March 2013. You have 24 hours to submit the online video or audio file of your SMACC CLUB critical appraisal.
  6. No nakedness above the waist, no nakedness below the waist. Actually no nakedness full stop (unless you’re submitting an audio recording, then that’s OK). Fancy dress is allowed.
  7. Video or audio recordings will go on as long as they have to (ideally 20-30 minutes max), but they are only allowed to cover 3 to 5 articles.
  8. If this is your first time at a journal club, you HAVE to lay down the SMACC! (…on the methodology, validity and clinical significance of the EM/CC articles you’re discussing.)

So put the 1st of March in your agenda! You still have 10 days which can be enough. Read some articles, discuss it via Google Hangout and submit the video (on ) It’s that simple. Off course we from EMDutch also have to compete to keep the Dutch spirit alive. That’s why myself, Sean Scott (an Australian/Italian emergency physician/intensivist) and Femke Geijsel (a Dutch/Australian emergency physician) will discuss 4 articles via Google Hangout about Acute Pulmonary Edema next week! This video will also be posted on this blog!

If you want an idea how to do it…take a look at Jerry Hoffman:

To finish it up with there is a new kid on the block: (Global Medical Education Program)


GMEP is a website, off course created by the LITFL-team, who else. It is a fantastic opportunity to share your knowledge with the world and get access to interesting information. Bloggers, podcasters and educators can now upload media to GMEP, add media to folders, create multiple choice questions from the media and integrate the externally hosted files into their websites with html5 streaming compliance. (With the introduction of the first version of GMEP WP plugin you are now able to embed video, images, vodcasts, podcasts and much more on individual blogs.) makes searching for appropriate information easier and more effective and enhances the inline contextual learning experience. Healthcare educators can upload to a single website for FREE rather than managing multiple accounts with YouTube, Flickr, Slideshare, Picassa etc.

Here you see an example of a case and question I took from GMEP and put on our blog:

Ok….hopefully more (Dutch) Emergency Physician will start using FOAM and GMEP and I hope to see more SMACC talks & clubs in the future!

Hope you liked this post. For more information, check out:



– (with a great presentation by Mike Cadogan on FOAM and check out the website by Andy Neill.)



See you next time with our (somewhat Dutch) SMACC talk and “flipping the guideline”.

Egon Zwets

Since we from EMDutch made this commercial for LITFL & GMEP I hope that Mike Cadogan and co will contact us for a contribution 🙂




3 Responses to “Back to the Future”

  1. Sebastian Aller (@ER_Seb) February 23, 2013 at 10:24 #

    Hi Egon,
    Great overview of what medical education on the www is all about. Good for newcomers to read too and so a great way to introduce our junior doctors to this way of education.
    Thanks a lot!

  2. Chris Nickson (@precordialthump) February 23, 2013 at 11:53 #

    Fantastic! Can’t wait for the Dutch SMACC CLUB entry… bring it on!


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