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A Tox Treat: Tox 101 with Drs Bryan Hayes and David McCoubrie

Hello and welcome back for another podcast. This week I was lucky enough to do a double interview with 2 super-smart Tox gurus.  We discuss a basic approach to a common tox scenario – the poly-substance OD with a range of medications.  The ins and outs of paracetamol [acetominophen], decontamination, mixed fox, alcohol in the […]

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GET FOAMed: Generalist Emergency Training, free meducation

Today I “attended” the first Google Hangout session of the GET FOAMed Rural masterclass. This is a new collaboration between Drs Minh & Shelly le Cong, Tim Leeuwenberg, Michelle Johnson and myself.  We are all doctors with a passion for improving the standard or rural health, with a focus on the acute care.  The catch […]

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Clinical Case 072: The Difficult Airway that Wasn’t

Today I have another Airway case for you from Dr James DuCanto, M.D. Aurora St. Luke’s Medical Center in Milwaukee, Wisconsin, USA Here is the case as described by James:  Watch the video here:  JDucanto difficult airway Middle aged male presents for urgent surgery with multiple medical co-morbidities (on renal transplant list), and multiple indicators of difficult […]

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Difficult intubation deliberation

Last week I posted on a tricky airway requiring AFOI (awake fibre-optic intubation) – see Awake Intubation Procrastination. I got a bit of correspondence from the readers and a very special reader – Dr James DuCanto, M.D. from Milwaukee, Wisconsin, USA.  (yep, Happy days, the Fonz.. you know the place.)  You will recognize Jim D if you […]

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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 […]