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generally unwell (part 2)…

For those joining the story for the first time, you can catch up here…. My interpretation of the ECG; Sinus rhythm with 1st degree HB, an ‘odd’ axis. Wide complex QRS (~140-160ms) with symmetrical tall T-waves. ? Hyperkalaemia. Needs urgent…

generally unwell…

The setting: Busy Saturday morning shift. Lots on the go as usual… You sit for a moment to catch up on your notes and review patient results… A nurse hands you this ECG to sign-off saying, “this lady is generally…

more than man-flu (part2)…

Here is the follow-up to the story of our 19 year old febrile patient….. The case continues… His CXR demonstrates the following …. Clear lung fields No pneumonia No CCF is that a ‘globular heart’  ?? This is his ECG……

more than man-flu…

The case: 19 year old male who presented as ‘lethargic & generally unwell’ is wheeled into resus. He is so weak it takes 2 staff and his father to lift him from the wheelchair to our stretcher. He looks horrible.…

supply & demand…

Case: 74 year old female is placed in the acute-area of our ED with a complaint of retrosternal chest tightness at approximately 9am. Her symptoms sound very typical for ACS. She looks clammy and pale. My colleague has placed her…

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…

The audacity of FOAMed

Mike Cadogan raising a glass to the audacity of FOAMed. Image created by underneathEM.com author Domhnall Brannigan (after Shepard Fairey and commissioned by Chris Nickson). Mike has just written an explanatory piece on the birth of FOAMed on LITFL.com here.

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…

Three hospitals in parallel dimensions

There exist three hospitals in parallel dimensions. This may be the root of all service delivery problems in public healthcare systems, including the spectre of access block. A bold statement, I know, but read on… The idea of three parallel…