Free educational blog for rural GP and proceduralists
Imagine this scenario. You turn up to work your day shift and see you have been assigned to the Obs ward for the morning. It is your task to see the dozen or so patients sleeping off the evils of the night before in the small ward out back of the ED. You know the [...]
OK it isn’t the biggest or sexiest decision you might make on any day of the working week – but one where there is in fact some evidence. Betadine vs. Chlorhexidine – not really a hot debate. Boring EM at best. Are you making incisions in patients, or are you doing skin lac repairs? I [...]
I have seen a run of nasty spinal injuries recently. This has gotten me thinking about the management of the things that go wrong after a serious spinal injury. SO I thought I would pick a few “spinal conundrums” and look at the current best practice, throw it open to you all and get advice from [...]
OK on with the case – our man has been intubated and is stable enough for a venture to radiology…. He passes through CT unharmed (Click to see CT)! ]CT shows… If I a looking at this CT in my hospital, far from help, or a neurosurgeon it is a bad day. I think we [...]
The title for this post comes from Anthony Burgess’ classic dystopian novel A Clockwork Orange. In the lingo of the novel’s antihero a “tolchock to the gulliver” is a blow to the head – it is a violent, fascinating book, with a great moral. Check it out if you have not already. Anyway onto the case… [...]
