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Sudden onset of headache and the potential underlying Subarachnoid Haemorrhage(SAH) is not an uncommon presentation to the Emergency Department. I recently saw a 32 year old male who presented with a sudden onset of severe headache whilst squatting in the gym. He also complained of pre-syncope. What do we need to do for him? SAH…

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Central Line Placement with Ultrasound

Central Lines can be very difficult to place. True central lines are the subclavian line and the internal jugular line. There is also the provision for insertion of a femoral.

Subclavian lines can be easier to establish as the subclavian vein is a permanently distended vessel that[…]

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Hydrofluoric Acid Burns

Etched Glass. Photo by Sans Soucie Hydrofluoric Acid Burns can be very serious burns, with fatalities documented at <5% burns area. Hydrofluoric acid is a weak acid that is used in industry in electroplating and glass etching and in smaller business in carpet cleaners and other such stain removing products. It’s a weak acid with…

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Handheld ultrasound- the EM gadget of the future

As ultrasound machines get smaller and smaller I’m excited at what is coming up. In Australia Sonosite have introduced the new handheld PDA-type ultrasound machine. A bit geeky if you hang it round your neck, but I won’t care. The problem with most of these is that the software hasn’t quite caught up yet. Above…

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RESUS 2010 Australia

Here is the shortened version of the movie for RESUSCITATION 2010 Australia. Everything on resuscitation over two big days. This is two days in one of Melbourne’s most beautiful areas, overlooking Albert Park Lake. With this backdrop, we are putting on a two day spectacular. Big Speakers, Big Topics, Big Screens, Big Prizes and a…

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RESUS 2010

RESUS 2010 is a two day conference totally dedicated to resuscitation. When I first started planning this conference nearly a year ago, it was obvious that there was nothing of this kind in Australia. I wanted to provide doctors, nurses and paramedics with something that they could attend within Australia and not have to travel…

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Rapid Sequence Intubation

  Practicing your technique at least every 6 months is very important if you do not regularly intubate. Even if you do, the ability to practice on different manikins and in different scenarios is very important. In this video you can see a demonstration of rapid sequence intubation, as well as the correct use of…

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What do I study if I’m sitting the Fellowship Exam in two weeks?

Someone asked me the other day, “What topics should I study if I were to sit the Emergency Fellowship exam in two weeks?” My response was “Don’t worry about it, you won’t pass!” The Fellowship exam needs some careful thought and time to digest. There is a difference between being a good emergency physician and…

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Advanced Airway – How useful is predicting the difficult airway?

We often talk about being able to predict the difficult airway. How useful is this really? In the scheme of things the Emergency Airway is just that, an emergency. Working out if the airway is potentially difficult or not, does not change the fact that the airway will need to be controlled in some way….

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Had a great time in Alice Springs and gave the guys a one day workshop. A great group and I hope their advanced airway skills have gone to the next level. Below you see everyone practicing the ‘3’ of the ‘3 – 3 – 2’ Rule. A great way to gain some insight into the…

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The ‘SIC KID’-A simple mnemonic for dealing with sick children

Ever worried about the sick child? I know I do constantly. I particularly worry about not missing things in the very young ie., the less than 6 month olds. When I see those children in resus, I still get the butterflies. So how could I make this easier for me and you? I’ve come up…

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