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Paediatric Pearls

I've given a talk on Paediatric Pearls in the past. I recently revived the talk for my residents,...

Inotropes and Vasopressors: Which one would you use?

Below are 2 cases we have all been confronted with, in the Emergency Department. Which medication is best...

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...