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Clinical Case 099: To Lose One’s Marbles

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A quick clinical case this week – it is a classical problem with kids – the airway foreign body.  I know there are a few ways to skin the proverbial cat – so I want to hear your approach. The setting is a small ED, no specialists – just the trusty old GP generalist plugging […]

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Clinical Case 097: Paediatric Short case

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Ok a quick case from the Paedtric portfolio. Kathleen is a 13 yo young lady – she presents to the ED with her Mum.  She is a petite girl wearing a fluorescent leotard and supporting a sore wrist.  The triage note states: “Gymnastics injury ? # distal radius” She sure is tender over the dorsal […]

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Clinical Case 094: Little one in big trouble

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Todays case is a Paediatric peril. Just for fun I thought I might run this case backwards.  Start with where we end up and how we got there.  You can tell me how you would have done the middle bit. So here is a shot from the monitor about 20 minutes after intubation. Not the […]

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JAMMIT: Intraosseous Access and Fluid Bolus

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Here is an example of a JAMMIT “instant tutorial”. Imagine you are a rural Doc who hasn’t done an IO line for years. You have a septic, flat 1 year old with chubby arms, no veins and no peripheral perfusion…… You have tried 2 peripheral lines in desperation – aimed at the antecubital fossae in […]

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Paediatric Constipation: with Dr Mel and Liz

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OK, not the sexiest topic in the history of Broome Docs – but Paediatric constipation is common.  Maybe you’ve seen the kid with the fresh PR blood – same kid most likely. This is a nice chat on the history, exam and initial management of children with trouble in the toilet – constipation, straining, diet […]