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Clinical Case 104: FAST Thinking

RUQ FAST view

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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Quantum Quandaries, Diagnostic Decoherence and Probabilisticians

waves

So I imagine you have just read the title of this post and thought – “Casey has finally lost it!” – or something to that effect…. Diagnostic Decoherence – it sounds like the title of an obscure SMACC lecture. So what am I rambling on about – what is this concept? Where does it come […]

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Clinical Case 103: Midnight MacGyver Medicine

midnightcowboy

This is an exercise in medical minimalism.  I am going to throw you a case and a set of resources – you need to say how you would manage it.  I am going to release my strategy in a few days.  So here we go – here is the case… Firstly, a little bit of […]

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The Schizophrenic Mind of a Part-time Resuscitationist

kenny roger

OK a quick Broome pearl tonight Scott Weingart just posted a really thought-provoking podcast on Errors of Omission vs Commission So I have put up a quick podcast to outline my thoughts about the case and the problem I see with errors involving inappropriate medicine in the ED. Please leave your thoughts on Scotts blog […]

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Optic nerve sheath diameter: window to the soul?

ONSD gr

Almost exactly 3 years ago I posted an article looking at the utility of ultrasonographic Optic Nerve Sheath Diameter measurement to assess patients for raised intracranial pressure.  That post is here The idea is sound, the optic nerve sheath is an extension of the subarachnoid space – so if ICP goes up it should expand […]