A 60-year-old construction worker fell from a roof landing on his ladder. He had multiple rib fractures, a moderate pneumothorax, small haemothorax and some pulmonary contusion. He was given morphine 10mg and ketamine 20mg in the ambulance. He was given 100µg of fentanyl on arrival in ED + 2g oral paracetamol and 800mg oral [...]
Meditation is a useful skill that helps many patients deal with anxiety, depression and chronic pain. It is also widely used by millions around just to improve general well-being. Professor Jon Kabat-Zinn is a professor of medicine in the United States. He has formulated many courses and written several books on meditation for patients and [...]
Between a rock and a hard place. Audio: 64M with exacerbation of CCF with angina at rest. Hx 50% LAD stenosis 3 years ago -> no intervention, CCF with EF 25%, pulmonary hypertension with RV dysfunction, COPD on home O2, chronic AF on warfarin (therapeutic + d-dimer negative). He was on frusemide 40mg bd, [...]
This is a great little book for new doctors in ED Hopefully you will find one in your department. It is a very quick read. Read it in your first few weeks in ED – before your first night shift! Here is a good online radiology teaching resource aimed and medical students and junior doctors [...]
A great introduction to night shifts for junior doctors by one of our junior doctors. Night Shift MacDonald from chris cresswell on Vimeo. Audio only: Slides only: Night shift mac donald from chricres You can down load audio here (Right click) or Night shift image from: http://www.madrasbhavan.com/2010_10_01_archive.html Music: Night Shift by The Commodores [...]
I recently presented a digoxin toxicity case. I talked about a great talk from Billy Mallon in which he described digoxin as a “Dinosaur looking for a tar pit.” I haven’t been able to track down the talk, or get Billy to re-record it, but I received this email from him: “Chris Digoxn IS [...]
A 14 month old boy was referred from an accident and medical clinic with a fluctuant abscess on his occiput. He had had impetigo of his scalp and had taken a couple of courses of antibiotics with brief resolution then recurrence of the scabs. The day prior to presentation he had a 2cm lump on [...]
60M found collapsed in park. Decreased LOC but normal obs otherwise ? OD ? faking. Hx of multiple OD. Obs normal on arrival. 5 min later HR 55, BP 70 systolic. ECG junctional bradycardia. Presumed beta blocker or calcium channel blocker. Another possibility is digoxin. d/w GP at his practice : felodipine, verapamil [...]
Original video Audio only with an Australasian-perspective commentary from me: You can download the audio here (right-click) or Magnesium in asthma is probably ineffective in adult asthma: http://stemlynsblog.org/2013/05/jc-does-magnesium-work-in-asthma-st-emlyns/ The 3Mg Study In Australasia we are not keen on arterial blood gases on patients with asthma as they are less likely to come to hospital for [...]
Audio Download audio here or Meditation resources Sleep inducing meditation http://lifeinthefastlane.com/ http://embasic.org/ http://www.emrap.org/ http://emcrit.org/ http://ekgumem.tumblr.com/ http://emtutorials.com/
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