Cardiac and Resucitation Short Course

Our first CARDIAC SHORT COURSE in Sydney is totally sold out! Dates for the next course TBA.  Read More »

HYPOTHERMIA IN CARDIAC ARREST IN CHILDREN

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  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 »

Pseudo vs real seizure

Seizure

If you’ve worked in the emergency department for a few years, you will have seen a pseudo-seizure and hopefully have picked it. I know I was terrified of these in the early days, as I had trouble making the diagnosis and I had seen neurologists get it wrong. Now, they are a little easier to [...]  Read More »

A New Way to Give Adenosine in SVT

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I’ve been speaking and writing about Supra Ventricular Tachycardia(SVT)  a lot recently. Perhaps because of the number of cases coming in. Someone mentioned a new way to give adenosine for SVT. A recent post on Academic Life in Emergency Medicine, also mentioned this approach.   Traditionally we administer the adenosine in a 6mg  dose via [...]  Read More »

Hip Relocation Made Easy

Hip Relocation

Here is a 3 minute video on the Whistler technique for putting in hips. Its quick and easy and really doesn’t allow you to hurt yourself. You use your legs to give you the traction. Just watch and see. Try it for yourself. I call it the under-over technique: I put my arm UNDER the [...]  Read More »

Head Injury in Kids

Head Injury

Up to 60% of children that come to Emergency Departments with a head injury have a CT brain, even though less than 1% have an injury that truly needs it. That is an important and significant fact!Children are brought into the Emergency Department frequently post a fall, with minor head injury. Sometimes they come directly [...]  Read More »