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Passing the Fellowship MCQ Exam

How to pass the Fellowship MCQ Exam. That’s the question on everyones lips as we head towards the pointy end of studying for the exam. If you have never sat this exam before, let me tell you, the ACEM Fellowship exam, is a long day, so be rested. 3 hours of SAQ exam and 3…

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Predicting The Fellowship Exam

Every year, I give my predictions of the top questions for the Fellowship Exam. Usually, my hit rate is good. One of my students recently said, “I should have just studied your top 30 list”. I don’t recommend this, but here is another year’s predictions. The predictions are based on: Questions that have been asked…

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Memories of the Fellowship Exam

We recently had a face to face day for our 6 Month Fellowship Course and the emotions and the feelings and even some of the stress of those days resurfaced in me, as we all sat around the table learning and reviewing key topics like ‘every ECG ever asked’,  ‘every X-ray you could ever see’…

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Clinical Fellowship Course

Kamikaze Clinical Fellowship Course – Melbourne/Sydney- March and April 2014 The Kamikaze Clinical Fellowship Course is a 5 week course 4 weeks of outstanding virtual environment including videos of short cases as well as Do’s and Don’ts of the Long Case and the SCE. There are skype SCE’s and Long Cases and interactive discussion about how to approach this exam. There are the two FACE…

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Solution to ‘The Patient has GAS’

A few people had a go. Well done! This is a tough one. This is my roundabout way of working it out. Probably not as slick as it should be but….it does the job.  It IS a triple acid base abnormality and the diagnosis is probably salicylate toxicity. Sure the patient has a fever and…

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Burns

Here is a brief (13 minutes)video lecture on burns. I discuss: Initial management, including airway, fluid resuscitation, analgesia, dressing as well as the assessment of area and depth of burns. A video of this length can’t cover the absolute details but it does look at: Indicators of inhalational burns What constitutes a major burn How…

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Thermal Burns

I was recently looking at a past ACEM Fellowship Examination Question on burns and thought it would be a great way to do some quick revision. Here is a photo: So here are some questions Describe the photo What surface area of burns are there? How do you calculate surface area? How do you calculate…

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Clinical Pearl- Hypertrophic Cardiomyopathy

A 24 year old male presents following a syncopal episode. On cardiovascular examination you believe there is a systolic murmur. Given his history and a family history of his father having a ‘large’ heart, you are suspicious of cardiomyopathy. How can you assess on clinical examination if the murmur is that of cardiomyopathy? I know…

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Supracondylar Fracture

Hi everyone. I wanted to spend a few moments on supracondylar fractures in children as this is one fracture that seems to be missed, when it’s not obvious and when first reading the Xray. It’s actually a pretty straightforward view of the elbow joint. The only catch is that the elbow must be at right…

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Left Ventricular Hypertrophy

Left Ventricular Hypertrophy(LVH) can cause all sorts of problems in terms of ECG diagnosis. There is a straightforward and simple approach to diagnosing it. Here is the ECG in 20 Seconds Approach. The criteria for diagnosing LVH are very specific(>90%) but not sensitive(50%). That means that if the criteria are met, it’s probably there. If…

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The Relative Afferent Pupillary Defect

This is an important part of the neurological examination of the eye. The Relative Afferent Pupillary Defect (RAPD), is also called the Marcus Gunn pupil, after the ophthalmologist that described the defect in 1883. The sign causes much confusion, but in reality is a very simple sign. In summary, a light is swung between both…

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Sudden visual loss

Sudden loss of vision is a potentially disastrous event. It is stressful, in fact, may be significantly debilitating for the patient. But it can also change your ‘state’, as a doctor. Especially if you don’t see this often……..and none of us do! The first question I always ask is: Is it unilateral or bilateral? Hmm….we’ll talk…

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