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Optic nerve sheath diameter: window to the soul?

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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 […]

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The 7 Laws of Diagnostics

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March 6th 2014 is Change Day in Australia.  Change Day  is a movement promoted by individuals working within the health system. It is all about each of us Making a Pledge to do one thing (or many things) to improve the health and wellbeing of others. What pledge can you make to improve patient, client and consumer […]

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Bedside Ultrasound Evidence Echoes

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As you might know – I am an Ultrasound tragic.  You may not know that I will also confess to being a little obsessed with biostatistics.  So in the lead up to SMACC GOLD I have been doing some research and come up with a few interesting info graphics that I thought I would share […]

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Clinical Case 097: Paediatric Short case

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Ok a quick case from the Paedtric portfolio. Kathleen is a 13 yo young lady – she presents to the ED with her Mum.  She is a petite girl wearing a fluorescent leotard and supporting a sore wrist.  The triage note states: “Gymnastics injury ? # distal radius” She sure is tender over the dorsal […]

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Clinical Case 095: Smashmouth vs. Surgeon

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Gday, it has been a few weeks since the last clinical case.  Today I have a rural trauma case with a twist.  I have been doing a lot of pondering around logistic and practical matters with regards to managing trauma in a smaller hospital.  I keep getting stuck on a few points – so I […]