Archives for June 2011

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Clinical case 016: Toddler vs. TV

This is an older case that sticks in my mind.  A great example of the subtle signs and compensation kids can show despite being very sick! 3 yo boy carried into the ED of a small, peripheral metro hospital by mother – screaming.  She is crying, and between sobs says:  “I was in the kitchen […]

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Lessons Learned from TC George

On Thursday 8th March 2007, Tropical Cyclone George crossed the coast just north of Port Hedland, it was a large, catgory 5 cyclone and it was unusual as it maintained its intensity for 100s of km inland where it struck Indee station and the Fortescue Metals Group Rail Village  (FMG RV1).  The destructive winds wreaked […]

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Sepsis Ib: Maybe Lactate is more like a Surg review for RIF pain…

Those of you who read Sepsis I may have been amused by my attempt to compare lactate to a Pap smear – OK, it is a long bow (?in the running for the Agincourt Award).  But my point is, we just don’t do enough lactates in the typical ED to try and catch all the […]

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Sepsis I: why lactate is like a Pap smear.

This is the start of a series of posts on sepsis, I hope to cover the following topics in the coming weeks: I :  Sepsis: screening and diagnosis II : Antibiotics – what and when III : Identify the source and control it if you can IV :  Fluid and inotropes in sepsis So here […]

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Clinical Case 015: Septic Surprise

I have been busy learning all this week, so not much new material.  Fortunately Dr Ray Gadd out of Qld has sent me a ripper case of sepsis for you to mull and consider.    I know Ray is a keen Broome Docs reader – so let him know what your thoughts are on this case […]