Escaping bugs
A 13-year old female with pyelonephritis is being treated with ceftriaxone. Enterobacter cloacae is cultured. Got a problem with that?
Category Medical Specialty
Fever in a spinal patient
A woman had a spinal injury from a car crash at 2 years of age; she since had spinal surgery and has a baclofen pump. Now she has a fever - what's the cause?
CAP Challenge!
Australia CAP - 'Microbial Mystery' of case-based Q&As focusing on causative organisms and antibiotic selection.
Sick, Shocked and Sunburned?
A 15 year-old female with fever, vomiting, diarrhoea, whole body 'sunburn' and hypotension. It's over to you...
Fulminant pneumococcal pneumonia
A 27 year old female with metastatic ovarian cancer for whom treatment options have been exhausted arrives in the ED in extremis.
Gram Negative Diplococci
21 year-old presenting to the emergency department with fevers and agitation. His lumbar puncture confirms Gram Negative Diplococci
Gastric Residual Volume
Gastric residual volume is the amount aspirated from the stomach following administration of enteral feed. An aspirated amount of ≤ 500ml 6 hourly is safe and indicates that the GIT is functioning
Paediatric Life Support
KEY FEATURES CAB (ERC still advocates 5 initial rescue breaths) good quality CPR in 15:2 ratio removal of ‘look, listen, feel’ de-emphasis on pulse check AED and defibrillation use encouraged (infants manual defibrillation) capnography recommended defibrillation: 4 J/kg adrenaline 10…
Dissociated Oxygen Saturations
What is the explanation for the discrepancy between the oxygen saturations on pulse oximetry and on arterial blood gas analysis in this patient?
Recombinant Factor VIIa to the rescue!?
The trauma room has turned into a blood bath. You're going to have to buy new shoes. What should you throw at the patient - the kitchen sink or Factor VII?
Managing the Critical Bleeder!!
What are the definitions used to define "Critical Bleeding" and "Massive Transfusion"?
Dealing with D-dimer debacles
An intern in the emergency department has been nervously standing behind you for the past ten minutes while you've dealt with a barrage of phone calls. He wants to discuss the positive d-dimer result of the patient he is working up. Y