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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…
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ECG predictors of Cardiac Arrhythmias in Elderly with Syncope
CASE A 72 yo woman presents to your emergency department following an episode of syncope. There was a brief 2-3...
Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue
A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at the RSL. He was described as pale and confused before slumping to the floor. He made a reasonably rapid and complete recovery...
The Lewis Lead
The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are not readily evident. It is particularly helpful in wide complex tachycardias, where the presence of atrial activity can be used to exclude...
Brugada Syndrome
A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows a supraventricular tachycardia(SVT). Vagal manoeuvres are attempted, unsuccessfully. Adenosine is then given for reversion. He reverts and his post-reversion ECG is shown...
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ECG predictors of Cardiac Arrhythmias in Elderly with Syncope
CASE A 72 yo woman presents to your emergency department following an episode of syncope. There was a brief 2-3...
Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue
A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at the RSL....
The Lewis Lead
The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are not readily...
Brugada Syndrome
A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows a supraventricular...
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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!
Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials
There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures and more specifically in convulsive status epilepticus. We now have two trials that have tried to answer this question by comparing Phenytoin...
The Patient with Diplopia
A 58 yo male presents to the emergency department with an 8 hour history of diplopia. He has no past medical history, has no allergies and is on no medications. He denies any recent illness or trauma. Recently a great...
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 has been little to offer patients. Thrombolysis has no application here, given its 3-4 hour window. Endovascular mechanical thrombectomy has...
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Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials
There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures and more...
The Patient with Diplopia
A 58 yo male presents to the emergency department with an 8 hour history of diplopia. He has no past...
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...
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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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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...
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!
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 Crashing Asthmatic Patient
The Crashing Asthmatic Patient is perhaps one of the most frightening of patients to treat. I'm not talking about the patient that has wheeze and gets five or six nebs and gets better in an hour. I'm talking about the...
Which Patients with Pulmonary Embolism should get Thrombolysis?
The diagnosis of pulmonary embolism(PE) is an almost common occurrence in the emergency department. The question of which patients to thrombolyse can be a difficult one to answer. Certainly there is consensus over patients with massive PEs needing thrombolysis. The same...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
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 Crashing Asthmatic Patient
The Crashing Asthmatic Patient is perhaps one of the most frightening of patients to treat. I'm not talking about the...
Which Patients with Pulmonary Embolism should get Thrombolysis?
The diagnosis of pulmonary embolism(PE) is an almost common occurrence in the emergency department. The question of which patients to thrombolyse...
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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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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
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 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...
Treating Patients on Stimulants
Here is a case, you are probably all familiar with: The police arrive with a patient that was "out of control". He is known to take illicit substances. He went home earlier today, where he lives with his mother and 'punched...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
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...
Treating Patients on Stimulants
Here is a case, you are probably all familiar with: The police arrive with a patient that was "out of...
Subscribe for FREE regular updates in your inbox.
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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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...
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...