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Clinical Case 132: Parker’s Peristaltic Palsy

Another case from the archives with a fair helping of ultrasound. 59 year old man with a complex surgical history.  He had an open cholecystectomy 20 years prior complicated by CBD injury and required a Roux-en-Y & CBD re-plumbing.  He has been doing pretty well until now.  He has some chronic hypertension and COPD which […]

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Hope: from Home Birth to Hospice

Home birthing and hospice care.  Birth and death, aside from taxes, the only certainties in life!  These may not seem to be related topics, but they are.  Stay with me and I shall explain. Let us start with home birth.  There has been a bit of banter in Broome and online about the modern controversy […]

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Clinical Cases 122: Feast, Fast or Flood Fluid Freesome

This is a “what would Weingart do?” trio of cases.  If you haven’t been keeping up with ‘the Man’s podcast then you would have missed the last few episodes where he has re-explored the modern paradigm of fluid resuscitation in Critical Care.  We have seen a whole tsunami of potential answers, techniques and a few […]

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Intubating the Critical Patient

Hi Team, It has been a slow month on the blog and podcast as I have been working on a few other projects… one of which is very exciting and will hopefully be unleashed in 2016. Can’t say too much about it but it is a collaboration with one of my favourite ED docs and […]

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Clinical Case 116: FEAST or Flush Fluids

Today’s case is about the Resus of severely dry children – very typical of Broome.  But before we get to the case – here is a bit of a review of some recent learning I have had on the topic.   I have started to rethink the traditional acute fluid resuscitation management of these kids.  The […]