Free educational blog for rural GP and proceduralists
Ok, the Paeds month is coming to its end. But here us a common, curly clinical question. 13 yo girl presents complaining of a sore, red, smelly toe. It is stopping her from soccer practice – cant Bend it like Beckham any longer…. How do you manage this: Specifically – what do you do with [...]
OK Here is a quick case. One that is a bit outside the norm – not your usual dislocation. In this case a 14 yo boy presents after falling on the football field. He landed awkwardly on his hand “popping” his index finger at the knuckle. On arrival he has an obviously swollen, deformed MCP [...]
G’day readers and listeners, This is a new concept for the Broome Docs blog. I am really interested in the psychology of Us – how our brains work (or not on occasion). I really believe that there is a lot we can learn from the lower points of our careers – the times when things [...]
Traumatic fluid resuscitation. This is one area of Emergency medicine where the dogma is pretty entrenched and the evidence has moved on quite a bit in the last 10 years. It is a poorly understood area of practice – probably because it has gone thorugh several permutations of name and ideology in recent history – [...]
One of the trends of recent trauma literature has been the use of “minimal volume” or “permissive hypotension” strategies in the face of bleeding. Now there is a new study from the New England Journal that compared 2 transfusion strategies in acute upper GI bleeding. And guess what? It looks like less is more in [...]
