post

Lessons Hard Learned: Dr Domhnall Brannigan

After a bit of a break – the Lessons Hard Learned series is back. Today I am chatting with Dr Domhnall Brannigan from Tasmania / Ireland.  He tells me about a really sad case he saw and we discuss the biases we all carry in medicine, communication and some Resus stuff you won’t read in […]

post

Clinical Case 098: the Falling Soldier

A 26 yo American backpacker presents to the triage of your small hospital ED complaining of palpitations. He is traveling the globe after serving 2 tours of duty in Iraq and being discharged from the US Army. He is a bit reluctant to attend as he hasn’t much cash flow and is expecting he will […]

post

Clinical Case 086: from Hell’s heart I stab at thee

Today’s case is a tough one.  This is not a happy story, but can you make it end well? So lets lay it out and narrow it down to a few key decision points. The patient is a 35 year old woman with a long history of schizophrenia – she has suffered with persecutory, paranoid […]

post

Antipsychotics, ECGs, QTcs and Catastrophes

In 2001 the FDA in the USA put a “black box” warning on droperidol after a series of case reports linking it with torsades de pointes.  Since then there have been  lot of cases of antipsychotic-related cardiac badness and it is fair to say this is something psychiatrists worry about.  It would be nice to […]

post

Clinical Case 075: a CTG, a VE and a distant ECHO

This is a rare case.  One where I was at a bit of a loss as to which was the best option.  So keen to get your input! A 23 yo. woman G?1, P0  – was flown in from a remote community in “threatened premature labour”, she was estimated to be about 34 weeks (but […]