Archives for May 2012

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PHARM: Dr Minh Le Cong’s new blog

Dr Minh Le Cong has finally found his own home and settled down with a nice new blog called Prehospital and retrieval medicine PHARM. This is a high quality blog looking at all things to do with transfer and prehospital care of the sick patients in remote parts of Australia. Minh is mildly obsessed with […]

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Clinical Case 054: Just a sip…

Mother of a 15 month old boy (weighs 11 kg) presents to the clinic with a bottle of massage liniment.   A quick glance at the label tells you the active ingredients are;   Per 50 milliliter:   Camphor 4.5g Menthol 17.0g Methyl Salicylate 15.0g Turpentine Oil 6.0g   Mum says she just popped out to hang the washing […]

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Clinical Case 053: thoracic tortuosity

OK.  This is just plain out there.  We see some unusual stuff in the remote areas – things you only read about in the books!  I am going to put this in the category of medical voyeurism.  This is not how we should go about our business, but I had to share these pics! 20 […]

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Clinical Case 052: Belly, bum and balls…

Today’s case is not in the ED.  This one unfolds on the ward – the morning after the admission.  So imagine yourself there – on the Paeds surgical ward. 6 year old boy was admitted last evening after referral from the local GP to the on-call Surg team. He has a 24 hour history of […]

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Ultrasound for Epidurals… I ask an expert: Dr Mitch

I have had a few readers ask questions about the use of ultrasound for the difficult epidural – usually in the labour ward context, but we sometimes run into this in the OT for combined spinal-epidural blocks.  Now I  love all things ultrasound – but looking at the literature it is tough to get a […]