Free educational blog for rural GP and proceduralists
Imagine this scenario. You turn up to work your day shift and see you have been assigned to the Obs ward for the morning. It is your task to see the dozen or so patients sleeping off the evils of the night before in the small ward out back of the ED. You know the [...]
OK, I have a confession to make. I am a truly appalling gynaecologist! I know, I claim to be a generalist – one who loves it all – but when it comes to the non-pregnant women I admit that I am sometimes less than enthusiastic. Now this is not such a dilemma as I work [...]
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 [...]
OK it isn’t the biggest or sexiest decision you might make on any day of the working week – but one where there is in fact some evidence. Betadine vs. Chlorhexidine – not really a hot debate. Boring EM at best. Are you making incisions in patients, or are you doing skin lac repairs? I [...]
I have a confession. For as long as I can remember I have been prescribing a dose of dexamethasone or two for people with acute tonsillo-pharyngitis. Now, I always thought this was a little bit naughty, not really “the done thing” for a doc who tries to be evidence-based. But over the years I have [...]
