An elderly man with a history of hypertension is brought into hospital after several days of reduced oral intake. He is hypotensive and your junior doctor wants to start inotropic support for presumed sepsis. An abbreviated bedside echo is performed. What would you suggest as optimal therapy?
Avalanche airbags, which were invented to prevent this “critical burial” that causes increased mortality (critical meaning impairment of airways). They do this by basically making you much larger and more buoyant by inflating a large balloon that is strapped to your back. At least, that’s the theory.
Funtabulously Frivolous Friday Five 054 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF, introducing the Funtabulously Frivolous Friday Five 055 Question 1 atients with which disorder,…
A 58 year old lycra clad cyclist presents after a fall from his bicycle. He describes localised pain in his left midaxillary line which is worse with movement and inspiration. Is there a rib fracture?
Presentation A 27 year old male presents after a motor vehicle accident, He has focal tenderness over his sternum which is worse with movement and deep inspiration. Ultrasound excludes large pneumothorax but you wonder whether you can see a sternal…
When traveling, much thought goes into what to eat. Not only do you have to get your party to agree on something, you have to make sure it’s safe.
An 18 year old rugby player presents after after an accidental kick to the face. He has a severe periorbital haematoma and you are worried about globe injury but cannot pry his eyelids apart enough to assess the anterior chamber or pupillary function. Can ultrasound help?
Rock climbing is a popular sport, but most rock climbing areas are either remote or sparsely populated with climbers, leading to poor data collection with regards to rescue events.
Unlearning is the process of abandoning or giving up knowledge, values or behaviour either unconsciously or deliberately
A previously well young male sustained an isolated severe brain injury. Shortly after arrival in the ED he becomes intermittently hypoxic and hypotensive. Confused, you look at his heart.
Feet get blisters, and the longer distances you move, the more likely they are to get them. While nuisances by themselves, blisters can lead to more concerning conditions such as cellulitis. Then they become a real problem, especially if you’re…