off the pace…
An 80 year old male is bought to your ED via ambulance following a syncopal episode. He reports sitting on a church pew, when he apparently collapsed without prior warning
Category Medical Specialty
a twisting tale…
It’s night shift & you’ve received handover of an entire department. You plug on and start chipping away at the waiting-list that doesn’t seem ever get any shorter....
a swollen face…
The Case. A 36 year old male presents through your sub-acute area with increasing facial pain & swelling. He reports a simple trip and fall 18 hours earlier (no alcohol on board, recalls all events), where his right cheek struck…
a diligent driver…
The Case. A 25 year old registered nurse presents to her GP with a 6 day history of abnormal vision, which she noticed whilst checking her blind-spot when driving. This has been accompanied by painful extraocular movements & the sensation…
eh-vee-arrr
The Case. A 38 year old male presents to your ED with left sided chest heaviness which radiates to his left shoulder & down the arm. He has associated dyspnoea, nausea & vomiting. He looks unwell. He underwent a CT-Coronary…
hard & soft…
The Case. A 22 year old male is retrieved to ED after a nasty workplace accident where he was pinned between a truck and wayward forklift. He had sustained injuries to his head/face, upper thorax and perineum, however our most…
a pulmonary pummelling…
The Case. This patient has been in your ED for over 24 hours waiting for a CCU bed. He presented with vomiting and syncope, but acquired left sided rib fractures during his collapse. He has been comfortable for most of…
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.
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…
shades of grey…
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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…