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 – [...]

Headache headaches! A podcast from the PHARM

SAH CT

Hi all I got involved in a twitter debate about the work up of headaches in ED, why is it that GP “miss” serious intracranial pathology from time to time and what is the current ‘best practice’ when it comes to the acute headache. There have been some really big, game-changing papers out in the [...]

Blood ‘n Guts: hold the blood, save the patient?

BloodAndGutsLogo

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 [...]

Broome Docs Podcast 005: HCGs, Ectopics Etc with Dr Geordan Shannon

ectopic

The second installment from Dr Geordan Shannon – my guide into the confusing world of Women’s Health. Geordan learns me some stuff about first trimester bleeding, HCG and US interpretation.  And what to do when it remains unclear! You might want to go back and read The previous posts on HCG  HERE and HERE if you [...]