in or out ???
the case. A 34 year old insulin-dependent diabetic male presents to your ED following a “collapse” stating he thinks he has had a seizure. He has had hypoglycaemic seizures previously. He lost his glucometer 3 or 4 weeks ago and…
tPA – black and white or shades of grey?
This is a micro-post just to illustrate yet another problem with the Boehringer Ingelheim/Neurology juggernaut pushing the Emergency Medicine community towards lysing anyone with a tingle.
slip and fall…
The Case. A young boy is bought to your ED with an obviously swollen painful left arm after a slip and fall… These are his xrays… [DDET Describe this injury…] Type III Supracondylar…
DO2GMA
This is the first in what will hopefully be a series of posts by new underneathEM.com recruit Dr Kate Field, an Emergency Physician based at Calvary Hospital in Hobart. In this episode, Kate takes a look at the dogma and…
off the pace…
An 80 year old male is bought to your ED via ambulance following a syncopal episode. He reports sitting on a church pew, when he apparently collapsed without prior warning
FOAM & SMACC craic – from outside the citadel
I’ve been thinking about FOAM since SMACC2013 (Social Media and Critical Care)…thinking a lot and talking to some friends. I’ve cleared my desk literally and figuratively for a while and intend to read a lot and spend sometime away from…
no place like home…
A 59 year old male undergoes an elective radical prostatectomy. He is previously well, however takes some ‘herbal Chinese medicines’ that he stopped 2 weeks prior to surgery
R&R In The FASTLANE 030
Research and Reviews (R&R) in the FastLane: experts worldwide tell us what they think is worth reading from emergency medicine and critical care literature
R&R In The FASTLANE 029
Research and Reviews (R&R) in the FastLane: experts worldwide tell us what they think is worth reading from emergency medicine and critical care literature
a world of trouble…
The case. A 3 week old infant is bought into your ED late at night. She is febrile and looks incredibly unwell. Her parents report a 36 hour history of increasing vomiting and poor oral intake. She has not had…
sweet & sour…
A 7 year old boy presents to your ED with a 3-4 day history of fevers, nausea and vomiting...
a twisting tale…
It’s night shift & you’ve received handover of an entire department. You plug on and start chipping away at the waiting-list that doesn’t seem ever get any shorter....