just a tablespoon…
This is the story of a 59 year old man who presented to our ED with a complaint of haemoptysis. He is otherwise well, takes no regular medications and besides his ’50 per day’ smoking history (over 40-odd years) he…
Category Medical Specialty
broad, fast & regular…
There are some things in medicine that I feel require a standardized approach for rapid diagnosis & management, especially in the face of an unstable patient & you have a little sweat on your brow. The following are two somewhat…
first time wheezer…
I have recently heard the quote, “the eyes do not see what the mind does not know” & feel it is incredibly applicable to this particular case, which some of you may have seen recently in one of my Tweets.…
Fingertip Injury
A guide to the assessment and management of common finger tip injuries in the emergency department.
Another Ankle Sprain
A 23 year-old female netball player presents c/o pain and swelling to her right ankle post playing netball. Does she meets the criteria for X-ray to rule out a fracture?
Case of Commotio Cordis
Ventricular fibrillation and sudden death triggered by a blunt, non penetrating, and often innocent appearing unintentional blow to the chest without damage to the ribs, sternum, or heart (and in the absence of underlying cardiovascular disease) constitute an event know as commotio cordis, which translates from the Latin as agitation of the heart.
Paralytic Shellfish Poisoning (PSP)
Yesterday a Public Health warning was sent to the Emergency Departments of Southern Tasmania regarding an algal bloom in the D’Entrecasteaux Channel and the accompanying risk of Paralytic Shellfish Poisoning (PSP). I thought I’d use this announcement as an opportunity…
A Case of Epistaxis
A 34 female presents to ED at 2am, post waking up with blood all over her pillow, and a continuous ooze of blood from her right nostril.
Behavioural Emergency Management
Behavioural disturbances and aggression in the emergency department is an increasing problem confronting emergency clinicians every day.
Case of Acute Severe Asthma
A 25-year-old lady Miss. Poor Compliance is rushed into your Emergency Department as a Priority 1. She is a brittle asthmatic and has been given 3x 5mg salbutamol nebs, and 0.5mg of adrenaline IM prehospital. On arrival Miss PC is…
Kokoda Medicine
The popularity of the Kokoda Trail has increased dramatically over the last decade. More and more Australians are making the arduous trek through the muddy, steep terrain of the Owen Stanley Range in Papua New Guinea.
Antibiotic Therapeutic Guidelines Update 2010
The latest version of the New 2010 Antibiotic guidelines is an essential guide for the appropriate management of patients with infectious diseases in both general practice and hospital settings.