Archives for July 2011

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If you are Angry and you know it…

After a long weekend of managing self-inflicted injuries – Boxer’s fractures, , ODs, glass to forearm, DIY dental etc.  I was reminded of a tune my former colleague would sing whilst repairing macerated fingers / radial arteries etc.  Thommo’s song is sung to the tune of  “If you are happy and you know it.” If […]

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Clinical Case 19: If it barks like a seal, is it a seal?

Winter in any paediatric ED means – flu season, bronchs, croups, URTI etc etc.  It can be tough to pick the true sick kid out of the haystack of cranky, viremic ones.  This case illustrates this point beautifully! 10 month old girl with a classic story – URTI sxs for 2 days, then woke at […]

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Clinical Case 018: Life and limb (not life OR limb)

Had a tough case this week – 30 odd yo. man came off his motorcycle and suffered a random puncture to the upper thigh, just below the inguinal ligament.  He arrived 20 minutes after the accident with a BP of 70/50.  Interestingly his pulse rate never got much above 100.   The old ATLS classification of […]

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Kid’s coconuts and CTs

Blunt head injury in kids is one of the commonest presentations that we see in ED.  In my experience, the rate of serious brain injury is low, and yet we often are unsure as to who to admit, who to scan or who to send home after review.  There are a heap of myths and […]

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Dabigatran – Clexane you can swallow

In case you missed it the newest anticoagulation agent has hit Australia – dabigatran (Pradaxa™).  It is currently on the PBS for just two indications – but watch that space… Anticoagulation of patients with non-valvular AF – where you would use warfarin usually For thromboprophylaxis in knee or hip replacement  – where you might use enoxaparin […]