Another Widow Maker
A 55 year old man presents with a good chest pain story that makes you nervous. A review of ST elevation in aVR and LMCA Stenosis
David Drummond
Sir David Drummond (1852–1932) was an English physician. Drummond sign of tracheal whiff with thoracic aortic aneurysm 1908
Redback Spider Envenoming
Redback spider bite is the most common envenoming in Australia with 5000–10,000 human bites occurring annually.
Lessons from Osler 003
The art of observation is central to the art of medicine, and William Osler was its greatest teacher. Here are some more lessons from the master.
UCEM Waiting Room Movies
Waiting Room Medical Movies series we can now demonstrate one of the practical applications of twitter to advancing the field of health and medical education
ECG Case 078
These ECGs are from a 58 yr old male reviewed in a rural setting, approximately ~2500 km from the nearest tertiary centre. Describe and interpret these ECGs. LITFL Top 100 ECG
Opioid toxicity
Opioids are obviously our bread and butter in emergency medicine, what more is there to know? This post is designed to give you a few extra tips and some idiosyncrasies with some of the other opiates to assist you in your clinical management.
GHB toxicity
Gamma-Hydroxybutyrate - GHB has many names including: Cherry meth, liquid Fanta, Easy Lay, Fantasy, Georgia Homeboy, Liquid Ecstasy, Liquid G and most annoyingly...water. GHB is the opposite of Amphetamine, instead of making you angry and hypervigilant it depresses your CNS. It is a precursor and metabolite of gamma-aminobutyric acid (GABA - the inhibitory neurotransmitter).
Cocaine toxicity
Cocaine is a classic sympathomimetic, used by the Incas as an appetite suppressant and noted for its analgesic properties we now use it medically as a local anaesthetic (Sodium channel blockade of the nerves).
Cannabinoid toxicity
Marijuana is the most widely used illicit drug in Australia, most people have a pleasant experience with the psychoactive drug. Cannabinoids can have adverse effects particularly in children if high doses are consumed which result in CNS depression and a coma lasting up to 36 hours.
Barbiturate toxicity
An uncommon presentation but you need to know that barbiturates can cause a profound coma mimicking brain death. Without good supportive care this overdose or mis-adventure can be lethal.
Amphetamine poisoning
Amphetamine toxicity and how to manage the severe complications in the emergency department.