Archives for September 2011

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Clinical case 029: Chest pain ECHOs

I have recently upgraded my US skills to start looking at hearts and wondering what is going on.  If you are keen to learn I can recommend 2 great sources for ECHO online – Ultrasound Village and the new Ultrasound Podcast (the boys have just uploaded a podcast on wall motion in ACS, whatever you […]

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Acute severe asthma: the evidence 2011

All of these recent posts and commentary on severe COPD has lead to a few discussions about the management of the Acute Severe Asthmatic around my workplace.  It is fair to say that this is an area where tradition and long-held beliefs have a grip, but there is a bit of recent evidence to suggest […]

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Clinical Case 028: Pink puffer with extra puff

This case come from Dr Adrian Goudie, Fremantle Hospital (where I haunted the wards as an intern).  Adrian is an Emergency Physician who is part of the excellent Ultrasound Village team – these guys run great basic training courses in ED and procedural US.  Check out their website as it has some golden learning resources […]

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Clinical Case 27: Part B – what actually happened..

Thanks for all of your comments and plans.  Lots of good ideas – wish I had thought of a few of them! So here is how I managed the man with severe COPD, ?AF and severe AS: NIV – BiPaP, started ASAP with a lowish pressure settings and wound it up as long as the […]

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Clinical Case 027: tachypnoea, tachycardia and tuckered out…

This was my night shift this week.  One of those situations where you know you have to do something quick – but what?  I am going to leave it open for comment at the crucial decision point and ask for your comments – then later this week I will tell you what I did and […]