The Kamikaze Fellowship Course, attended by hundreds of Fellowship Candidates has returned by popular demand and with an AMAZING addition! If you take our course and don’t pass the exam, you get a full money refund! Accountants are protesting, business managers have resigned, but that’s the way it’s going to be!!! So here is the [...] Read More »
A great question came through the website this week. The question went something like this: “There is confusion around the need to turn off oxygen during defibrillation or cardioversion. I’ve been told by a few FACEMS and Anaesthetists that it’s a myth and there has never been a spark explosion. Is that true?” Just [...] Read More »
I’m giving the talk on vertigo at the EMCORE, however several people have asked, after reading the blog on the HINTS study, for a quick summary of my approach to the patient with dizziness. Here is a very, very quick summary in the form of a 4 minute video. More detail at the conference. My approach [...] Read More »
The patient with acute vestibular syndrome can present a major diagnostic challenge. The patient with dizziness can be a tricky case to diagnose. In my preparation for the ‘Vertigo’ talk I get to give at this year’s EMCORE I came across the HINTS study (Stroke 2009; 40 3504-3510). It’s one you have to read. I have [...] Read More »
OK here it is. The final word in investigating the pregnant patient with suspected pulmonary embolism. Well, it’s my final word anyway. I’ve spent the last month or so reviewing the literature on this. What amazes me, is that two people can quote the same study and come up with a different conclusion. The confusion appears [...] Read More »
I’ve done blogs on early depolarisation and infarction in the past. The story isn’t complete unless we also discuss pericarditis. In acute pericarditis the ST elevation that occurs reflects abnormal repolarization that develops secondary to pericardial inflammation. PR depression is very specific for pericarditis. It is a result of subepicardial injury. PR depression occurs in all leads [...] Read More »
Our obsession with adrenaline continues. We want to prove it works. It must! If it doesn’t what do we have? We’ve been running arrests in this way for the last 50 odd years. If they took adrenaline away, what’s left? I ran a resus two days ago on a patient with refractory pulseless VT. When [...] Read More »
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