An interview with a world expert. Earlier this year I postponed the Singapore EMCORE Conference, due to COVID-19, but only after a lot of serious thought. The decision was the right one. We are now seeing the effects. With what would have been only 3 weeks away from that conference, conference leave is being cancelled all…

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CTPA’s are sometimes quite confusing to read. A simple approach, based on differentiating the anatomy is the approach to take. Below Dr Kas takes us through the reading of the CTPA.

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Test your knowledge by answering this question in 12 minutes A 50 year old female presented to the emergency department with anxiety, palpitations and feeling generally unwell.  She had no past medical history and was on no medications.  She had, however, seen her GP the week before complaining of 2 weeks of palpitations, anxiety and…

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Tranexamic Acid: Did we find another Use? So, picture a case. A 45 year old man presents to your Ed with spontaneous tongue, lip and face swelling. His only medical history is hypertension, for which he takes perindopril…. I could give you a lot more diagnostic information – vital signs, symptoms etc to facilitate you…

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A 50 year old female presented to the emergency department with anxiety, palpitations and feeling generally unwell.  She had no past medical history and was on no medications.  She had, however, seen her GP the week before complaining of 2 weeks of palpitations, anxiety and weight loss.  Her GP had checked her thyroid function tests…

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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 brain injury. The Trial International, multi-centre, randomised, placebo-controlled trial Big Trial Eligibility criteria: Within 3…

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CASE A 72 yo woman presents to your emergency department following an episode of syncope. There was a brief 2-3 seconds of dizziness followed by a loss of consciousness. The patient did not complain of chest pain or palpitations, nor headache, nor abdominal pain and there was no weakness, or loss of function. There was…

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A patient presenting to the Emergency Department with diplopia can be a diagnostic challenge. Which patients need urgent imaging and which patients can be referred to outpatients? What is the imaging of choice? A recommended approach is shown below(1): As a summary: If it’s Binocular PLUS any of the abnormalities below, perform a CT brain…

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