Blog
Is it Thoracic Aortic Dissection?
The Case A 58 yo patient presents to the emergency department with central crushing chest pain that came...
Ketamine-only breathing intubation
Ketamine-only breathing intubation(KOBI), is a technique where Ketamine(+/- topical local anaesthetic) is used to facilitate intubation in patients...
Ketamine Only Intubation
In a recent paper by Driver et al (1) there was a comparison of Ketamine-Only intubation with topical...
Cannabis Hyperemesis
We've all seen Cannabis hyperemesis and it's not pretty. The patient showers and feels much better..... and keeps wanting...
The Reverse Vagal Manoeuvre for SVT
A NEW technique for reverting SVT was published in AJEM(1) this week. The Reverse Vagal manoeuvre for SVT,...
Canadian Syncope Risk Score
Those Canadians are clever. They've given us ankle rules and knee rules and subarachnoid rules. Now a Syncope...
A Patient with Wide Complex Tachycardia
Beware the Impersonators This week we see one of my favourite ECGs of the year. In fact I...
Don’t Miss the Occult Fracture
A normal X-ray does not necessarily exclude a fracture. It is simply a test used, with our pre-test...
Pronator Quadratus Sign
The pronator Quadratus sign is a sign seen on the lateral X-ray of the wrist/forearm and can assist...