CICM SAQ 2011.2 Q13
You are asked to admit a 46-year-old man who has just been intubated in the Emergency Department after collapsing from what appears clinically to be a brain stem stroke. His Glasgow Coma Score prior to intubation was 6.
A Fondness of Fruit
Most of us, at one time or another, have gazed into the stratosphere and imagined clouds as familiar objects such as an animal, a face, an activity or letter of the alphabet. Such nephelococcygial activity has never resulted in my…
NICE fever guidelines for kids
Fever is the most common presentation to Paeds ED and it can be difficult to identify a focus. This causes us (me anyway) a great deal of concern.
Local Anaesthetic
Local Anaesthetic toxicity is nearly always due to a therapeutic error. Usually an incorrect dose, route or technique.
Chloral Hydrate
Chloral hydrate is used in paediatrics undergoing procedures. It was withdrawn from the adult arena due to the narrow therapeutic index. In overdue it causes rapid CNS depression, cardiac dysrhythmias and these are lethal without prompt intervention.Chloral hydrate comes in 200ml bottles, 1g/10ml
Approach to Snakebite
Potential or definite snakebite is a common presentation to Australian emergency departments.
12-lead ECG in Toxicology
The 12-lead ECG provides valuable real-time prognostic information that is based on toxic effects at the target organ; often not available from clinical evaluation or serum drug assays.
Acid base disorders and Osmolar Gaps
This is quick reference page to acid base disorders in toxicology and osmolar gaps. Zeff a toxicologist from Melbourne talks through his approach and the errors that can occur with osmolar and anion gaps.
Managing the Busy ED
Working in the ED environment is unlike most other areas of medicine. Stress levels can be high, maintaining patient flow in the face of access block and exit block can seem futile, and a chaotic environment
Letter From America #3
The bang was provided by the force of nature otherwise known as William "Billy" Mallon, M.D. perhaps the most natural candidate for F.UCEM status alive today. His keynote consisted of a few trademark rants...
Metabolic Mayhem
Two quick ECG problems for you this week. See if you can spot the common thread. This potassium with hyperkalemia, hypokalaemia
LITFL takes a leap of faith
An honorary F.UCEM PhD will be awarded to the most awesome or most obscure/outrageous place to display the LITFL or FOAM logo The inaugural winner of the PhD (Publicly Happy to Display) is Sir Peter Wyllie of Alice Springs Pete…