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LATEST BLOGS

  • Lactation Ketoacidosis

    Lactation Ketoacidosis

    I go on about how important it is to be able to interpret blood gases, with our junior doctors and Fellowship Candidates. It can really change your diagnostic capabilities in the emergency department. Here is an interesting case, where gases solve the problem. A 30 yo woman is transferred to your emergency department. She has...

  • Fluid Resuscitation in Pancreatitis

    Fluid Resuscitation in Pancreatitis

    It is the festive season and with it, comes the patient that has more than their usual few drinks. They present to the emergency department soon after, with abdominal pain and nausea and when their lipase comes back; a diagnosis of pancreatitis. This disease carries an overall risk of mortality of 2%, but it may...

  • Ciguatera Toxicity and Allodynia

    Ciguatera Toxicity and Allodynia

    The Case: A 60 yo male presents to the emergency department with Ciguatera Toxicity. He is frightened by the symptoms he has developed. This morning he noticed some paraesthesia around the mouth. He also noticed that when he picked up a cold bottle of water it ‘burnt’ his hand. Also when he splashed cold water...

  • Flexor Tendon Sheath Infections of The Hand

    Flexor Tendon Sheath Infections of The Hand

    Infection of the flexor tendon sheaths of the hand, represents a potential surgical emergency, due to these being closed compartments and swelling can result in necrosis. The same does not tend to occur in extensor tendons as they are open compartments. Infections to the flexor tendon sheath usually occur following a penetrating injury to the...

  • Pulmonary Embolism in Patients With Syncope

    Pulmonary Embolism in Patients With Syncope

    HOT OFF THE PRESS Prandoni P et al. Prevalence of Pulmonary Embolism among Patients Hospitalised for Syncope. NEJM 375:16 Oct 20 2016. This is a big study in the NEJM, that a lot of people will pay attention to. The finding in a nutshell, was that Pulmonary Embolism(PE) occurs in 1 in 6 patients hospitalised...

  • How Dangerous is Pulmonary Embolism?

    How Dangerous is Pulmonary Embolism?

    How Dangerous is Pulmonary Embolism? The diagnosis and management of pulmonary embolism(PE), like most things in emergency medicine; it’s about risk stratification. In chest pain, the low risk patient is approached very differently to the high risk, ST elevation chest pain patient. It is exactly the same in PE. There is that group of patients...

  • Amiodarone vs Procainamide for Ventricular Tachycardia

    Amiodarone vs Procainamide for Ventricular Tachycardia

    The PROCAMIO Study(1) This was a randomised (non-blinded) open labelled study. 62 haemodynamically stable patients with sustained, monomorphic, Ventricular Tachycardia(VT), were assigned to receive either: (i) intravenous procainamide (single dose 10 mg/kg over 20 min) or (ii) intravenous amiodarone (single dose 5 mg/kg over 20 min). The study period was 40 min from infusion initiation...

Featured ECG

The ability to be able to accurately and rapidly identify things wrong with an ECG, is a skill. How long do we usually have to identify that the ECG is abnormal? Usually about 20 seconds. For this very reason I developed ‘The ECG in 20 Seconds’. a method, by which to identify, many of the important ECG findings.

Each week, there is a new ECG to try and then a brief discussion on it. Take part, improve your skills.

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