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Bell’s Palsy
What is Bell’s Palsy? It is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a sudden onset…
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Manage the Acute Cardiac Patient Read Any ECG Treat any Arrhythmia Rule The Cardiac Resus Resuscitation, Shock, Arrhythmias, Pacemakers, Ischaemic…
Is SVT an ischaemic arrhythmia?
We often see patients presenting with SVT. They often have ST changes, so we have to ask; Is SVT an...
Dextrocardia: Can you pick it on ECG?
This is a great case that highlights how important it is, to know how to check if your ECG lead placement is correct. It also includes a rare case of dextrocardia. CASE A 39 yo male presented to the Emergency...
An Ominous ECG Sign
This is a fantastic case to learn from for a recent Circulation article(1) titled 'An Ominous ECG Sign in Critical Care'. THE CASE A 35 year old woman, who is a known intravenous drug user, is admitted with septic shock...
Double Sequential External Defibrillation for Atrial Fibrillation
We know that Double Sequential(DSED) External Defibrillation has been used primarily for the treatment of resistant ventricular arrhythmias. Here is a case study proposing its use in refractory atrial fibrillation(1) The case discussed is of a 56 year old patient...
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Is SVT an ischaemic arrhythmia?
We often see patients presenting with SVT. They often have ST changes, so we have to ask; Is SVT an...
Dextrocardia: Can you pick it on ECG?
This is a great case that highlights how important it is, to know how to check if your ECG lead...
An Ominous ECG Sign
This is a fantastic case to learn from for a recent Circulation article(1) titled 'An Ominous ECG Sign in Critical...
Double Sequential External Defibrillation for Atrial Fibrillation
We know that Double Sequential(DSED) External Defibrillation has been used primarily for the treatment of resistant ventricular arrhythmias. Here is...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Tranexamic Acid: Did We Find Another Use?
Tranexamic Acid: Did we find another Use? So, picture a case. A 45 year old man presents to your Ed...
CRASH-3 Trial
The CRASH-3 Trial has been published. CRASH-2 demonstrated that early administration of tranexamic acid(within 3 hours of injury) reduced bleeding deaths by one third(1). In CRASH-3, the investigators looked at the effects of tranexamic acid in patients with potential traumatic...
Honey for Button Battery Ingestion?
A 25-year-old patient presents with recurrent lithium button battery ingestion. She had been admitted with the same presentation 3 week before and had undergone urgent endoscopic removal of the button battery. It was noted on the operation note, that the...
Why are we still doing log roll, FAST and rectal exams?
In the blunt trauma patient, where we are considering a pan-scan, is there a role for the log roll, the FAST scan or the rectal examination any more? Case The ambulance phone rings: “ETA 15 minutes. We have a 25 year...
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Tranexamic Acid: Did We Find Another Use?
Tranexamic Acid: Did we find another Use? So, picture a case. A 45 year old man presents to your Ed...
CRASH-3 Trial
The CRASH-3 Trial has been published. CRASH-2 demonstrated that early administration of tranexamic acid(within 3 hours of injury) reduced bleeding...
Honey for Button Battery Ingestion?
A 25-year-old patient presents with recurrent lithium button battery ingestion. She had been admitted with the same presentation 3 week...
Why are we still doing log roll, FAST and rectal exams?
In the blunt trauma patient, where we are considering a pan-scan, is there a role for the log roll, the FAST...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Bell’s Palsy
What is Bell's Palsy? It is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a sudden onset...
Trigeminal Neuralgia
An excellent review article on Trigeminal Neuralgia, has just come out in the NEJM(1). Here is a quick summary. FACTS Usually affects the mandibular or maxillary division of the Trigeminal Nerve F>M Right face > left. Bilateral is rare -...
Transient Ischaemic Attack
A recent clinical practice article in the NEJM(1) on Transient Ischaemic Attack (TIA) gave a nice summary of this topic. Current guidelines that are good reference sources on stroke and TIA management include: American Heart Association and the American Stroke...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Bell’s Palsy
What is Bell's Palsy? It is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a sudden onset...
Trigeminal Neuralgia
An excellent review article on Trigeminal Neuralgia, has just come out in the NEJM(1). Here is a quick summary. FACTS...
Transient Ischaemic Attack
A recent clinical practice article in the NEJM(1) on Transient Ischaemic Attack (TIA) gave a nice summary of this topic....
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
A new DAWN for stroke treatment
Last week we looked at a case study involving a patient who awoke with stroke symptoms. In these cases there...
BP Control in Intracerebral Bleeds
A/Prof Peter Kas looks at the topic, of how tightly we must control the blood pressure intracranial bleeds.
Not SAH: Are We Done?
A/Prof Peter Kas looks at the patient who has presented with sudden onset of headache and you have ruled out subarachnoid haemorrhage. He asks the question “Are We Done?” The answer is no. Watch to see the other diagnosis, that...
Status Epilepticus: Get the Ketamine
A/Prof Peter Kas looks at the status and refractory as well as super refractory status epilepticus. He covers traditional therapy, talks about efficacy and also discusses the new found use for Ketamine in these patients.
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A new DAWN for stroke treatment
Last week we looked at a case study involving a patient who awoke with stroke symptoms. In these cases there...
BP Control in Intracerebral Bleeds
A/Prof Peter Kas looks at the topic, of how tightly we must control the blood pressure intracranial bleeds.
Not SAH: Are We Done?
A/Prof Peter Kas looks at the patient who has presented with sudden onset of headache and you have ruled out...
Status Epilepticus: Get the Ketamine
A/Prof Peter Kas looks at the status and refractory as well as super refractory status epilepticus. He covers traditional therapy,...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Guidelines for the Diagnosis and Management of DVT and PE
This is a review of the updated guidelines on Diagnosis and Management of DVT and PE, which were released in...
Let’s MacGyver some equipment for COVID-19
We all remember MacGyver. He'd had a toothpick and a piece of thread and voila, he's create a rocket launcher out of it. Far-fetched and fun. Well there are a lot of very clever and inventive Critical Care docs out...
How to Read the CTPA
CTPA's are sometimes quite confusing to read. A simple approach, based on differentiating the anatomy is the approach to take. Below Dr Kas takes us through the reading of the CTPA. https://vimeo.com/313498557
5 Things to Think About in a Wheezy Child
Minimal Handling Stop touching the patient. Often enough in paediatrics, more is not better. This is of key importance in the younger age group. The more lights/monitors and hands on assessment – the more distressing to the child. The more...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Guidelines for the Diagnosis and Management of DVT and PE
This is a review of the updated guidelines on Diagnosis and Management of DVT and PE, which were released in...
Let’s MacGyver some equipment for COVID-19
We all remember MacGyver. He'd had a toothpick and a piece of thread and voila, he's create a rocket launcher...
How to Read the CTPA
CTPA's are sometimes quite confusing to read. A simple approach, based on differentiating the anatomy is the approach to take....
5 Things to Think About in a Wheezy Child
Minimal Handling Stop touching the patient. Often enough in paediatrics, more is not better. This is of key importance in...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Thyrotoxicosis
A 50 year old female presented to the emergency department with anxiety, palpitations and feeling generally unwell. She had no...
A 29 yo male with sudden onset of flaccid paralysis
The Case A Previously well 29 year old male awoke at 0630hrs unable to move his torso or limbs. His initial complete paralysis had lessened somewhat after 2 hrs and he had managed to reach the phone and call for...
Hyponatremia
Hyponatremia is a common electrolyte abnormality. It can be acute or chronic. It can occur in isolation or as part of other disease processes. Diagnosing its cause can be challenging in the Emergency Department and there may be some confusion...
Diabetic Ketoacidosis in Children: Management
CEREBRAL OEDEMA: DO WE REALLY KNOW THE CAUSE? We recently had a child with (diabetic ketoacidosis)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...
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Thyrotoxicosis
A 50 year old female presented to the emergency department with anxiety, palpitations and feeling generally unwell. She had no...
A 29 yo male with sudden onset of flaccid paralysis
The Case A Previously well 29 year old male awoke at 0630hrs unable to move his torso or limbs. His...
Hyponatremia
Hyponatremia is a common electrolyte abnormality. It can be acute or chronic. It can occur in isolation or as part...
Diabetic Ketoacidosis in Children: Management
CEREBRAL OEDEMA: DO WE REALLY KNOW THE CAUSE? We recently had a child with (diabetic ketoacidosis)DKA in our department and...
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I’ve Got this ‘Nanging’ feeling: Nitrous Oxide Abuse
'Nanging' is the recreational use of nitrous oxide. That cylinder you have in your emergency department and use for some...
Cyanosis or Something Else?
A 75 year old gentleman presented with acute on chronic abdominal pain. His triage noted that he was “centrally cyanosed, but comfortable” and that his daughter had reassured the concerned triage nurse that his skin was usually that colour and...
Massive Propranolol Overdose
Massive propranolol overdose is perhaps one of the most challenging overdoses to manage. In 2009 we posted a case we had. We have progressed in our management since then. CASE A 26 yo woman is brought to the ED by...
A Man Walks Into a Hole.
We often start with a case and talk about a single topic. This case is a little different. It is a real-time case. What would you do with this patient every step along the way? In real life, things are...
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I’ve Got this ‘Nanging’ feeling: Nitrous Oxide Abuse
'Nanging' is the recreational use of nitrous oxide. That cylinder you have in your emergency department and use for some...
Cyanosis or Something Else?
A 75 year old gentleman presented with acute on chronic abdominal pain. His triage noted that he was “centrally cyanosed,...
Massive Propranolol Overdose
Massive propranolol overdose is perhaps one of the most challenging overdoses to manage. In 2009 we posted a case we...
A Man Walks Into a Hole.
We often start with a case and talk about a single topic. This case is a little different. It is...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Ciguatera Toxicity and Allodynia
The Case: A 60 yo male presents to the emergency department with Ciguatera Toxicity. He is frightened by the symptoms...
Snake Bite
This year at EMCORE 30-31st May, we are proud to have Dr Ken Winkel, Toxicologist and Director of the Australian Venom Research Unit at the University of Melbourne, talking about cold blooded bites. Here is a recent article by Dr Winkel...
Box Jellyfish stings: To vinegar or not?
The call came: a case of Box Jellyfish(Chironex fleckeri) envenomation in a young girl and her father. The father was stable and pain was under control, however the daughter had such significant pain that, anti-venom had to be used. The wound had...
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Ciguatera Toxicity and Allodynia
The Case: A 60 yo male presents to the emergency department with Ciguatera Toxicity. He is frightened by the symptoms...
Snake Bite
This year at EMCORE 30-31st May, we are proud to have Dr Ken Winkel, Toxicologist and Director of the Australian...
Box Jellyfish stings: To vinegar or not?
The call came: a case of Box Jellyfish(Chironex fleckeri) envenomation in a young girl and her father. The father was stable and...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
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The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Lateral Canthotomy
When and How to Perform a Lateral Canthotomy A 35 yo woman presents to your rural emergency department. She has recently...
Aschner Phenomenon in Traumatic Enucleation of the Eye
Introduction Aschner phenomenon or oculocardiac reflex is characterised by an episode of dramatic bradycardia following manipulation of extra-ocular muscles or dramatically raised intraocular pressure. The phenomenon was first described by Aschner and independently by Dagnini in 1908 (1,2). The phenomenon...