Big Belly Baby Bleed – managing late-term Obstetric bleeding

antepartum-haemorrhage

It is ladies month here still – and today we are going to get into one of the the big Emergency scenarios of Women’s health.  Imagine this: Its a quiet night shift – you are contemplating a third cuppa when the triage nurse rolls in with a young woman on a wheelchair. Your powers of [...]

Clinical Case 082: Traumatic fluid resus OR Midnight at McDonald’s?

MacDon

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 – [...]

Broome Docs Vodcast 009: Airway 101 with Drs Tim Leeuwenberg and Jamie Doube

Dr Doube with LMA in situ

I recently caught up with my S.A. mate Dr Tim Leeuwenberg (KI-Docs.com) who is the Prof. of all things airway in the GP realm.  Tim has recently published an audit of Aussie rural GPs and their access to airway gear, knowledge and practice when it come to emergency airway management. Tim is a really clear [...]

Cross-pollination: Paeds procedural sedation

image

One of the benefits of being a generalist, a doc who tries to do a bit of everything is that from time to time I find that a trick, concept or idea from one area of practice jumps and screams to be used in another area of practice. So I thought I might throw out [...]

Clinical Case 077: Fluid balancing act

Sell-Red-Kidney-Bean

This is a tough one – a clinical scenario that is unfortunately a bit too common in my part of the world.  I want to know how you would go about balancing the fluids in this case, what will you use to measure the adequacy of the resuscitation / fluid administration.  It is a tight [...]