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Hip Dislocation

Introduction This review is based on a great journal article just published (1) The most common hip dislocation...

NOACs and a Patient with Palpitations

Below is a case of a 60 yo patient with palpitations, who is commenced on a NOAC, with...

Emergency vs Delayed Coronary Angiography for Patients with Out of Hospital Cardiac Arrest

This is a review of a recent paper in JAMA Cardiology:Hauw-Berlemont C et al. Emergency vs Delayed Coronary...

Guidelines for the Management of Spontaneous Intracerebral Haemorrhage.

The 2022 Guidelines for the Management of Spontaneous Intracerebral Haemorrhage have just been released by the American Heart Association and...

Does Fluid Restriction in Septic Shock result in Better Outcomes?

Literature Review: Restriction of Intravenous Fluids in ICU Patients with Septic Shock. NEJM 386;26. June 30,2022 pp2459-2470. In...

Diplopia

A lot of people have asked for the Diplopia lecture I gave in Sydney last year. Here it...

Epicardial Fat Necrosis

Epicardial fat necrosis is a rare, benign, self limiting condition that can mimic more serious causes of chest...

Atrial Fibrillation in the Emergency Department

Here are two cases of patients with Atrial Fibrillation. Would you treat them in the same way? Patient...

The Right Ventricular Spiral of Death

The right ventricular spiral of death in PE is very real and very scary. We sometimes miss it,...