The ECG DVD is HERE!

You’ve all been waiting for it. We’ve had our technical glitches, but next week the ECG DVD is going in the mail. To find out more, click HERE.  Read More »

DKA and Cerebral Oedema – Do we really know the cause?

Osmolytes

Cerebral oedema is the most feared complication in children presenting with Diabetic Ketoacidosis (DKA). It occurs in about 1% of cases but has a mortality rate of up to 90% (Waldorf J et al Diabetes Care 2006; 29:1150-9). Patients will have a decreased conscious state and may also have cranial nerve palsies, headache and/or bradycardia [...]  Read More »

The ECG’s of Syncope

Causes of Syncope

I’m not sure about you, but I seem to be seeing more patients with syncope than ever before. This year at EMCORE, I spent over an hour going into the ECG’s of syncope. Syncope is difficult because it is a symptom, not a condition and it’s up to us to find the cause. My approach [...]  Read More »

Delayed Sequence Intubation

Superdoc

There’s been a lot of talk around about Delayed Sequence Intubation and a little bit of confusion about it, so I thought I’d clear up a couple of things. Is there a lot of evidence for it? No- there is very little, but we will see the evidence coming out soon. The current evidence is [...]  Read More »

3 Essential things to do to get the Airway

Obese Patient Positioning

Well, I’m now writting the lectures for the EMCORE Conferences for Hong Kong,  Melbourne and Fiji and I was quite excited about this content and wanted to share some of it with you. Today I wanted to spend a little time talking about one of the three things I’ll be discussing at the EMCORE. This is point 2, of the 3 [...]  Read More »

‘A Doctor’s Touch’

Dr Abraham Verghese

Who are you inspired by in Medicine? My clinical heroes are certainly the classics: William Osler and Hamilton Bailey. Last night whilst working a busy shift, I was reminded(whilst performing a clinical examination on a patient, that gave us the answer to what was wrong, when nothing else made sense) of the power of the [...]  Read More »

The Crashing Atrial Fibrillation Patient- Part 2- What inotrope to use?

Frank Starling Curves

Let me remind you of the patient we had in part 1 of this blog. The patient had presented in rapid atrial fibrillation at a rate of 170-180.  His BP was about 60mmHg systolic. Cardioversion was attempted( x 3) with Metaraminol used to support blood pressure, however it was unsuccessful. An Amiodarone infusion was commenced [...]  Read More »