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Month November 2012

headache for all…

The Case. A 28 year old female presents to your ED at 2am. She left the hospital 12 hours earlier with her newborn first child who is now 2 and half days old. Her main complaint is that of profound…

a poison puzzler…

the case. 23 year old female is bought to ED by her family after an intentional overdose of ~ 100 ‘diet tablets’ which she ingested 1.5-2 hours earlier.

Literary-Medicine-340

The Hypocritic Corpus

As I stand over this: Screaming human? Patchwork Scarred Scared Amphetamine fuelled Pulsing rage, With a syringe of midazolam -fantazaslam! Invoking the Mental Health Act, As if I believe in it -The gospel according to psychiatry I realise this does…

iatrogenic acceleration…

The Case. A 46 year old restrained passenger in a high-speed MVA rolls into the resus bay. She is intubated & sedated [easily ventilated & oxygenated, no evidence of chest trauma], persistently tachycardic @ 160/min with a systolic BP of…

probe prevents probe…

Recently, a colleague of mine was wanting to perform a diagnostic tap on a patient with cough, fever and a CXR suggesting a left sided pleural effusion…. I was asked to perform a bedside USS to mark out the safest…

a troublesome tachycardia

The Case. An 11 year old boy is bought to ED by his mother on a busy weekday evening. Mum reports that he has been ‘a little bit off’ over the past 24 hours, in particular he’s not keeping down…