LATEST BLOGS

  • How to Diagnose the Patient with Vertigo in 5 steps

    How to Diagnose the Patient with Vertigo in 5 steps

    How to Diagnose the Patient with Vertigo in 5 steps This week it’s all about the ‘dizzy’ patient, or that patient with vertigo. I recently spoke at EMCORE Melbourne and went through my step by step approach of sorting, in my mind at least, the potential causes of the ‘dizzy’ patient. Below is a summary...

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  • Neuro Exam Pearls: Upper limb

    Neuro Exam Pearls: Upper limb

    I don’t know about you, but I’ve always wanted to be able to perform a neurological exam and pick the lesion and look good doing it. Over the years I’ve tried to get better at it. What I have put together is a series of ‘PEARLS’ that sometimes help me decipher the cryptic world of...

  • VAPOX and Ventilation During the Apnoeic Period

    VAPOX and Ventilation During the Apnoeic Period

    In Rapid Sequence Intubation(RSI), there is that period of apnoea that occurs following delivery of paralytics and prior to attempting laryngoscopy and intubation. It’s a period of 40 to 50 seconds, before we attempt to do anything. “Don’t bag!” we often scold. “It’ll fill the stomach and cause regurgitation and aspiration”…… In the background the patient’s saturations...

  • The SIC KID

    The SIC KID

    For years I’ve been speaking about the SIC KID Mnemonic. It’s time to see where we are at in 2017. When was it to be used? To be used as a memory aid in the crying child, where we weren’t sure of the diagnosis. Let me remind you of what the letters stand for: S –...

  • Should we intubate in the ramped position?

    Should we intubate in the ramped position?

    I’ve spoken on awake intubationat the EMCORE Conferences, especially at the last Masterclass. I also spoke about the potential benefits of intubating patients in the ramped positionie., head of the bed up at 25-30 degrees. Mostly this is based Off studies, using operating theatre patients that have already been intubated, then disconnected from oxygen sources and observed to see how long...

  • 5 Things to Think About in a Wheezy Child

    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 distress – the greater the effort of breathing becomes.  Most children with wheeze are best...

  • Zipper Injuries

    Zipper Injuries

    This blog is often full of new evidence from high quality trials and literature reviews as well as clinical pearls to help enable us to choose wisely with our sickest patients, usually those in the resus bay. That being said, for most emergency physicians, perhaps up to a third of their clinical time, may be...

  • Contrast Induced Nephropathy: Is it Real?

    Contrast Induced Nephropathy: Is it Real?

    You are managing a trauma and request a CT abdomen to exclude an intra-abdominal injury. The radiology registrar asks about the patients’ renal function. Sound familiar? The good news is that the scan go ahead without knowing the renal function. This is supported by the current guidelines of the Royal Australasian and New Zealand College...

  • Fixed Dilated Pupils

    Fixed Dilated Pupils

    Head injury with fixed dilated pupils: Are we done? We have looked at the pupillary response before on this blog in terms of the Doll’s Eye Reflex in brainstem death and the oculocephalic reflex. However, what if the pupils are fixed and dilated? We seem to learn quite early in our medical careers that fixed...

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ECG of The Week

How long do we have, to pick up that an ECG is abnormal? Usually it’s about 20 seconds. I developed ‘The ECG in 20 Seconds Approach‘, a simple method, to help you read ECG’s.

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Clinical Pearl

Head Thrust Test

In a patient with rotational vertigo and nystagmus, where we suspect, or wish to prove a peripheral lesion, this test is of assistance. It relies on the vestibulo-occular reflex, which is responsible for bringing the eyes back to the centre.

In unilateral nystagmus and rotational vertigo, the peripheral lesion is opposite to the direction of the fast nystagmus. When the head is turned towards the lesion, the eyes move with the head, for a brief moment and the vestibular-occular reflex then returns them to the centre. If this occurs it is a positive test indicating a peripheral cause.

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6 Month Written Fellowship Course

Pass the Fellowship Course with this 6 Month Course

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6 Month Written Fellowship Course

THE DEFINITIVE COURSE TO HELP YOU PREPARE FOR YOUR FELLOWSHIP EXAMINATION.
VIDEOS, ARTICLES, SYNOPSES AND THOUSANDS OF MCQ'S, EMQ'S, SAQ'S,
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Why Watch Resus TV?

Resus TV is your weekly fix of informative video lectures

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Why Watch Resus TV?

If you want to learn about a procedure or a new technique, or get a video synopsis of one of our lectures, then go to Resus TV.

PASS THE OSCE

Communication, Knowledge, Clinical Examination, Simulation and MORE!

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PASS THE OSCE

This is the 2 days OSCE Course for the Emergency Medicine Fellowship. PASS THE OSCE, with total preparation. Seats are capped in number to allow better teaching.

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Join the Thousands of Members who get free updates on our Conferences PLUS Webcasts and Education Newsletters
We respect your privacy.

EMCORE Conference

EMCORE Conference

HONG KONG | MELBOURNE | FIJI | SANTORINI
Our Amazing Emergency Medicine Conferences. See Us LIVE! Click on the image above for more at www.emcore.com.au

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