The 6 Month Fellowship Exam

STARTS AUGUST 31st This is a 6 month Virtual Course with Weekly VIDEO Lectures, NOTES, and Tests to do. MCQ’s EMQ’s and SAQ’s.With over 1500 new exam, specific questions in total, in our bank and growing, you will always have material to practice on. PLUS All the X-rays you can think ofAll the ECG’s you can doAll the pictures you can possibly look atAll [...]  Read More »

Memories of the Fellowship Exam

Screen Shot 2015-06-18 at 4.01.11 pm

We recently had a face to face day for our 6 Month Fellowship Course and the emotions and the feelings and even some of the stress of those days resurfaced in me, as we all sat around the table learning and reviewing key topics like ‘every ECG ever asked’,  ‘every X-ray you could ever see’ [...]  Read More »

The Oculocephalic Reflex

Doll's Eyes

What is the Oculocephalic Reflex and how do you use it? This reflex is brainstem mediated and keeps the eyes looking straight ahead when the head is turned, in an unconscious patient. It’s a test to use on the unconscious patient to see if the brainstem is intact. The best way to remember this is by [...]  Read More »

Pericarditis, BER or STEMI

ST DEPRESSION

A 35 yo male presents with palpitations and pleuritic chest pain. He’s recently had a viral illness but has no other medical history. At 1am in the morning, the patient was woken by palpitations. He now complains of left sided chest pain and dyspnoea. His vitals are normal. This is his ECG: What does he [...]  Read More »

Stylet or Bougie for Intubation

The Stylet

As many of you will know, I’ve been teaching airway workshops now for many years, and have put over 3500 doctors through the Advance Airways Workshop.     I teach equipment in the following way:Your weapon of choice is the size 3 curved blade.Everyone gets a 7.5 tube in the emergency situationAlways use a stylet [...]  Read More »

Hypothermia In Cardiac Arrest In Children

warm-child-in-cold-weather

  Hot of the press this week, a study in the NEJM (25th April 2015) by Moler et al. ‘Hypothermia in Out of Hospital Cardiac Arrest in Children’.  We know that hypothermia works in adults and more recently studies showed that we don’t need to cool patients to extremely low temperatures. In fact it is important [...]  Read More »

Do you rule out DVT with a D-Dimer?

Well's Score

Deep Venous Thrombosis(DVT) occurs in approximately 1-2 per 1000 of the population. Our great concern is not the DVT as such, but the potential for other sequelae, especially a pulmonary embolism. What I see and what I’m also guilty of, on several occasions is that these patients are simply sent to ultrasound and we don’t [...]  Read More »