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Archive for July 2015

Unstable Pelvic Fractures

Pelvic fractures are most often associated with massive trauma. In terms of skeletal injuries they account for about 3% of all injuries. However they have the potential to result in haemodynamic instability, leading to significant mortality. Approximately 10 years ago the mortality from multi trauma with pelvic ring disruptions and haemorrhagic shock approached 60% (J…

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Memories of the Fellowship Exam

We recently had a face to face day for our 6 Month Fellowship Course and the emotions and the feelings and even some of the stress of those days resurfaced in me, as we all sat around the table learning and reviewing key topics like ‘every ECG ever asked’,  ‘every X-ray you could ever see’…

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The Oculocephalic Reflex

What is the Oculocephalic Reflex and how do you use it? This reflex is brainstem mediated and keeps the eyes looking straight ahead when the head is turned, in an unconscious patient. It’s a test to use on the unconscious patient to see if the brainstem is intact. The best way to remember this is by…

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Pericarditis, Benign Early Depolarisation or STEMI

Differentiating between Pericarditis, Benign Early Depolarisation and ST Elevation Myocardial Infarction can sometimes be difficult. CASE A 35 yo male presents with palpitations and pleuritic chest pain. He’s recently had a viral illness but has no other medical history. At 1am in the morning, the patient was woken by palpitations. He now complains of left…

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