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Archive for November 2011

2 new studies to look out for – ‘CIRC’ and ‘ARCTIC’

STUDY 1 : THE CIRC TRIAL This is a Zoll funded study that looks at Zoll’s ‘autopulse’. I reviewed the autopulse back in 2007. The study commenced in 2007 and had a total of 4231 patients recruited. The results were just presented at the American Heart Association’s, Resuscitation Science Symposium. The results reported, were that…

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Guidelines Schmidelines – how do i apply them?

Hi everyone.  Just finished a great week at the ASM 2011 conference in Sydney. Thanks to all the people that came up and said “hi”. One of the talks I gave was on “Guidelines Schmidelines”. A lot of people came up after the talk and asked if I could write it up. So here it…

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The Relative Afferent Pupillary Defect

This is an important part of the neurological examination of the eye. The Relative Afferent Pupillary Defect (RAPD), is also called the Marcus Gunn pupil, after the ophthalmologist that described the defect in 1883. The sign causes much confusion, but in reality is a very simple sign. In summary, a light is swung between both…

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Sudden visual loss

Sudden loss of vision is a potentially disastrous event. It is stressful, in fact, may be significantly debilitating for the patient. But it can also change your ‘state’, as a doctor. Especially if you don’t see this often……..and none of us do! The first question I always ask is: Is it unilateral or bilateral? Hmm….we’ll talk…

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Is it a FIT or a FAINT?

Patients that present with syncope can be challenging purely because syncope is a symptom, not a diagnosis. We need to find the cause. The most important causes to look for are CARDIAC. Why? Because cardiac syncope is an independent predictor of overall mortality and cardiac mortality. The cardiac causes include: Arrhythmias: ventricular and supraventricular Low…

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Designing your emergency department/hospital

I’ve been involved in the design of a lot of Emergency Departments. The saddest thing I see, is a bright and shiny new emergency department is opened and people realise really quickly, that it doesn’t work. I get asked to help fix it, but it’s a bit late at this point. If you can, when…

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