Paramedics State Conference

Just finished 2 great days of teaching at the Paramedics State Conference in Tasmania over the last weekend22-23 Nov. Thanks to Anthony, Simone and Piaf for organising and all the guys for making it a great teaching and learning weekend.  Read More »

Chest Pain: How Sure Are We at Predicting?


Here’s a scary problem …. If I was a paramedic, not an emergency physician with all my resus cubicles, serial troponins and all the serum rhubarbs I could order and I was called out to see someone with chest pain, who would I take to the ED and who would I leave? The answer is [...]  Read More »

Priapism: How To Treat It.

I can fix it.

CASEA 46 year old man presented to our ED mid morning complaining of a persistent erection since 10pm the night before, when he had injected 20ml of alprostadil (“Caverject”) into his penis. He had not experienced any detumescence, and was quite distressed. We all know the solution to the problem – just drain the corpus [...]  Read More »

Pigbel, Clostridial Enteritis Necrotans, Much Nastier than C diff Diarrhoea

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Case: On 1st May 2014 a 6 year old male was brought to a remote clinic in the Papua New Guinea Highlands from a very remote village. In the preceding 3 hours he had experienced “more than 6” episodes of copious black diarrhoea tainted with blood and one episode of bloody, dark vomit. He had [...]  Read More »

Trans-venous pacing of bradycardia.


This case study involves an elderly gentleman who needed trans-venous pacing. Here is a simple how to. A 65 yo male is brought in by ambulance. They were called as he had a syncopal episode. When they arrived he was bradycardic and had a slightly depressed conscious state. His systolic BP was 60 mmHg and [...]  Read More »

A Case of Valproic Acid Overdose

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The Case We saw quite an interesting toxicology case in the emergency department the other day, which highlights some of the major issues in an increasingly common toxic presentation to departments: valproic acid toxicity.  A 28 year old man presented to ED at about 10am claiming to have taken an overdose of 200 “Epilim” tablets [...]  Read More »

My Rules for Getting the Airway

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There are all these fancy terms out there in respect to airway. There’s apnoeic oxygenation, delayed sequence intubation, the vortex etc….. Let me tell you something, you already know. This stuff has been around in one form or another for a while, but we have discovered its application to emergency medicine only recently. After giving [...]  Read More »