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Archive for June 2015

Peri-Orbital vs Orbital Cellulitis

What differentiates Peri-orbital from Orbital Cellulitis is which side of the orbital septum the infection is on. The orbital septum is a layer of fascia that extends vertically from the periosteum of the orbital rim  down to the elevator aponeurosis and the inferior border of the tarsal plate. Anatomically that’s great, but clinically it doesn’t…

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Stylet or Bougie for Intubation

As many of you will know, I’ve been teaching airway workshops now for many years, and have put over 3500 doctors through the Advance Airways Workshop. I teach equipment in the following way:Your weapon of choice is the size 3 curved blade.Everyone gets a 7.5 tube in the emergency situationAlways use a stylet and bend…

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A Patient with Dizziness

This patient presented with ‘dizziness’. An ECG is handed to you. What is the diagnosis? This ECG shows a Type I Wenckebach block Lets review using the ECG in 20 Seconds approach: RATE: 11 x 6 = 66bpm IS IT SINUS? Are there P waves? and are they inverted in aVR and upright in II?…

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