Archives for April 2012

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Clinical Case 050: Think Better, Do Better

Last week I received the following comment from a reader in a country nearby.  This was a great story for me to hear as it made all my long hours of reading and writing seem worthwhile.  There are plenty of podcasts and blogs that will teach you how to do life-saving stuff – but this […]

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Broome Docs in the Fast Lane

Apologies to the regular readers (and the slightly odd ones too!).  It has been a slow week for updates at Broome Docs as I have been in the big smoke (Perth) doing a bit of a refresher in all things Crit Care in SCGH – and catching up with the Life In the Fast Lane crew […]

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Clinical Case 049: the Unseen ECG

I was sitting at the desk writing up some notes when the triage nurse stuck the following ECG strip under my nose. The story was that this chap was a hypertensive, obese, diabetic vasculopath with impaired renal function who had presented with a fever of 39 deg and nasty looking diabetic feet (see Clinical case […]

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Clinical Case 048: We Ask an Epidural Expert

This case is an opportunity for us to learn from an expert.  Epidural analgesia in labour can be rewarding and infuriating.  So I have enlisted the help of Dr Roger Browning – Consultant Anaesthetist at Fremantle and King Edward Memorial Hospitals {tertiary maternity centre in WA}.  I put a few questions to Roger based around […]

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Consult Skills 3: Being Good at Bad News

We have a great job, but sometimes it sucks!  Forget the annoyance of shift work, the heirarchy and long hours – for me the worst part of the job is when we find something nasty, or have a poor outcome – giving bad  news to nice people is never easy.  Why?  well it goes back […]