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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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Prostate Cancer 2017: Light at the End of the Tunnel?

  If you follow this blog far enough back you will read early rumblings about the futility of prostate cancer screening.  The last ten years has seen a “slow growth” of international guidelines stating that this is something that we probably should NOT be doing… and yet, it remains one of the most common screening […]

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Clinical Case 137: It’s the quiet ones…

Another case from the Broomedocs archives.  This is a pretty simple case that contains a few good lessons. Our patient is a 30 year old woman called Bessy who has been in a long term abusive relationship.  She has a long history of injuries including ulna fractures, facial fractures and burns to her skin.  Sadly this […]

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Lessons Hard Learned: What scared Ross Fisher?

At the last SMACC outing in Dublin there was a stand-out lecture by Dr Ross Fisher ( @ffolliet ) entitled:  Things that Scare Me.  Ross is a bit of a presentation guru – and hence he had plenty of pressure on to deliver a great talk…. and he did exactly that.  It was a pin-drop-silently, […]

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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 […]