The Fellowship Podcast is HERE!

This week saw the launch of the new Fellowship Podcast. Each week week is filled with tips and advice as well as knowledge boosters on the Fellowship Exam. I hope you like it and tell all your colleagues about it. Peter Kas  Read More »

Is Bigeminy Benign?

Ventricular Bigeminy

Here is the Case: A 76 yo woman presents to the Emergency Department/ is on the ward/ comes to your rooms, and is complaining of palpitations. She states that they sometimes make her dizzy. You perform an ECG, the rhythm strip is shown below. What do you do? The patient is in Ventricular Bigeminy.Is this [...]  Read More »

Severe Acidosis, Renal Failure and Metformin

VBG

THE CASE The call comes in just after midnight. A 67 year old male has been brought to the Emergency Department. He had complained of lower back pain, feeling unwell, with a couple of episodes of vomiting. He arrived in the Emergency Department, aggitated, with the ambulance already having given 370mcg of Fentanyl. His past history [...]  Read More »

Airbag Injuries: Don’t forget the Carotids

airbag-recalls-increasing

CASEA 50 yo woman presents to the Emergency Department following a high speed deceleration injury, where she crashed her car into a tree. The patient complains of severe sternal chest pain, and is finding it hard to breath. The ambulance have given 20mg of Morphine. No other injuries are obvious. Airbags have had a significant [...]  Read More »

Predicting The Fellowship Exam

exam_poster

Every year, I give my predictions of the top questions for the Fellowship Exam. Usually, my hit rate is good. One of my students recently said, “I should have just studied your top 30 list”. I don’t recommend this, but here is another year’s predictions. The predictions are based on: Questions that have been asked [...]  Read More »

Management of DKA in Children

4ts od Type 1 DM

CEREBRAL OEDEMA: DO WE REALLY KNOW THE CAUSE? We recently had a child with DKA in our department and the subject of fluid resuscitation came up. Also the Queensland Government guidelines on the Emergency Management of children with DKA has recently been produced. I thought it was timely to revisit a blog I wrote in [...]  Read More »

Should We Lower BP in Inra-Cerebral Haemorrhage- ATACH-2

ICH

Two days after speaking at the EMCORE Conference on blood pressure control in intra-cerebral bleeds the ATACH-2 trial (Antihypertensive Treatment of Acute Cerebral Haemorrhage II) has been published. We know that intra-cerebral bleeds are dynamic, with up to 40% of patients having growth in haemorrhage volume, in the first 3 hours(Stroke 1997:28:1-5). We also know [...]  Read More »