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Clinical Case 135: Tackling Trauma in the Bush

This vodcast is a version of the talk I gave last week at the ACEM Annual Scientific meeting in Perth. We were asked to present a “challenging case” – I decided to present a trauma case that I think represents the maturation of my trauma practice. The case is pretty straightforward.  However, there are a […]

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Clinical Case 119: Trauma & the Sensitive New Age Ultrasound

OK tonight I have a trauma case for you. Billifred is a 24 year old man whom lives with his partner.  There relationship took a turn for the worse this evening when she found her sister’s underpants in his car. Billifred is a “lover, no a fighter…” but tonight he was forced to defend himself […]

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Clinical Case 104: FAST Thinking

This is a trauma case.  I want to use this case to illustrate something about the way we think about trauma when it comes to making calls using ultrasound – specifically the FAST exam.  FAST exams are ubiquitous in modern ED practice – but if executed and interpreted poorly – they are potentially a source […]

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Clinical Case 091: A Pessimists Guide to Trauma

Had a tough trauma case the other day.  Not tough as in: “dying quickly” kind.  But tough as in the decision points were not clear, the findings a little equivocal and there were plenty of diagnostic biases and errors available for me to commit. I have a tendency towards pessimism in my practice – it […]

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PE Prognostication with Dr Anand Senthi (part 2)

Ok, its here – the second part of the PE podcast.  This is where all the new concepts are squirrelled away.  We know that our current approach to PE is imperfect and likely does harm to a good number of patients – so can we do better? Dr Anand Senthi is back to run us […]