VT or not VT
"VT or not VT? That is the question..." you muse. Then your patient Bill says "A shock, a shock, my kingdom for a shock"...
LITFL Leap of Faith Noonamah NT
Sir Peter Wyllie of Alice Springs was the inaugural winner of the F.UCEM PhD (Publicly Happy to Display) award. Now Sir Peter Wyllie goes one step further…heli jumping over Noonamah, NT
Lessons from Osler 002
William Osler teaches us that a sense of humor and fun helps doctors fight off stress, connect with others, and stops them from taking themselves too seriously.
Short path reverberation artefact
**B-lines = Short path reverberation artefact Short path reverberation artefact The ultrasound appearance of this artefact is a thin vertical bright or echogenic line that passes from the point of origin, to the deepest part of the ultrasound image. Most…
Moritz Roth
Moritz Roth (1839-1914) was a Swiss pathologist. He is eponymously associated with Roth spots (1872), which he first observed in the retina of patients with septicaemia.
ECG Case 076
This ECG is from a 40 yr old male who presented following a large overdose of an anti-spasmodic agent.
ICE 004: Chest pain ECG
A 64 year old man attends the ED after developing chest pain radiating to the jaw and right arm while playing tennis. The pain has now been present for nearly half an hour and continues unabated. Describe his ECG
Funtabulously Frivolous Friday Five 187
Funtabulously Frivolous Friday Five 187 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Metformin toxicity
Metformin rarely causes hypoglycaemia but it can cause a profound lactic acidosis in overdose and in patients with renal failure.
Insulin toxicity
While insulin overdose should be simple to manage this guide will show you some of the nuances to the management and help you prevent longterm neurological impairment.
Tramadol toxicity
Tramadol in overdose would have the opiate toxidrome expected (sedation and respiratory depression) but it also can potentially cause seizures in doses >1.5 grams. Tramadol has also been associated with serotonin toxicity, rarely as a single agent but commonly with other co-ingested serotinergically active agents.
Salicylate toxicity
Salicylates in acute overdose classically cause a respiratory alkalosis by stimulating the respiratory centres in the brain followed by a metabolic acidosis by uncoupling oxidative phosphorylation. The classic triad of mild toxicity is nausea, vomiting and tinnitus,