Archives for August 2012

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Clinical Case 065: Sternum vs. seatbelt

Another great US case today. I saw this patient who had been in a rollover MVA a few days ago and had a full survey in ED, no serious injuries found and was therefore discharged in the AM.  However, she represented with ongoing chest pain which was interfering with her usual tidal breathing.  She described […]

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Fish hook removal – how do you do it?

The image here is my all time favourite fish hook injury.  I called the Surgeon to ask him to review this one and he was somewhat dismissive.  After a more prolonged explanation he begrudgingly agreed to look at it.  Several hours of operation later we had the hook out and a lot of structures explored! […]

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Clinical Case 064: Um-bil-obstruction

Another ripper ultrasound case this week!  I was doing a Sunday – my favourite day!  No lab, no Xray department, no Admin folk doing QI stuff etc…..   Just straight clinical work.  Of course it is tourist season – so the average age of Broome goes up about 30 years! Elderly chap presented with 24 hours […]

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Clinical Case 063: Ultra-sounds like pneumonia to me

A few months ago I posted on the use of US for diagnosing pneumonia.  Check out that post here.  I have been trying it out since, but haven’t seen a good going fresh pneumonia for a while….. Since then the guys at Ultrasound podcast have released an awesome lecture by Vicki Noble on the same […]

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Trauma Course survey

Gday – slow week for Broome Docs – a few other big projects on the go, and a spot of fishing! For a while there has been a few of us in the rural areas contemplating a new type of Trauma / Critical Care training course. We have all done the APLS, EMST, ATLS……..  and […]