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Lessons Hard Learned: Dr Victoria Stephen

If you enjoyed reading Clinical Case 137 – then you will love this podcast.  That case contained a number of pearls that will be repeated here… This episode of Lessons Hard Learned comes from Johannesburg in South Africa – I am joined by Dr Tori Stephen to discuss a tough trauma case and some pearls […]

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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 […]