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Thoughts on the WOMAN Trial

Postpartum haemorrhage is really quite a broad term. I frequently manage women with retained placental tissue who require manual removal in theatre to halt persistent bleeding. This is routine, mundane Obstetric care. We follow well-trodden protocols. Most of these women do well. We sometimes need to resort to steps 3 or 4 in our algorithm […]

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Dr Roger Browning: On Oxytocin & Obstetric Anaesthesia

Hi all. If you are reading this message – then I am on a beach in Vanuatu eating fish and drinking rum from a coconut.  But I have a treat for you too !   This is a guest vodcast from one of my Obstetric Anaesthesia mentors Dr Roger Browning. Roger is a great bloke […]

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Clinical Case 138: the Possibly Paraletic Paedestrian

This is a bit of Medical MacGyverism that I have tried in the past and failed, but got right recently. Here is the case – could be any day in our shop… The ambulance have arrived in ED with a young man who was “found down” on the sidewalk with no witnesses to the preceding […]

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October 2016 Journal Club with First10EM

Welcome back to the podcast for October’s Articles of the Month Another month of interesting reading with Dr Justin Morgenstern.  Check out the First10EM blog for full written version. Here’s the podcast: DIRECT DOWNLOAD Below are the written summaries and the links to the original papers: Coming soon: Daily home D-Dimer testing Prandoni P, Lensing […]

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Lessons Hard Learned: Dr Andy Buck

Today’s “Lesson” is all about knowing one’s limitations, scope of practice and appreciating the little voice inside one’s noggin. Dr Andy Buck is an ED Physician who works all over Australia, but is based in Melbourne where he runs the very excellent Emergency Trauma Management course. This is a case of procedural sedation which goes […]