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Surviving Sedation 2015

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It has been a busy month behind the scenes here at Broome Docs – lots of big projects and plans going on…  wait and see what we are have in the offing. One project that I have been working on with a group of great clinicians from all over Australia.  It is called SURVIVING SEDATION […]

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Clinical Case 089: Tormented teen

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Ok the format of todays case is a little different.  This is a role-playing game that I use from time-to-time with our JMOs. It is called: “Your Next Line…”  The case unrolls as we step through the presentation, history and dialogue – with “time freezes” – kind of like theatre sports.  In each time freeze […]

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Mental Health Assessment in the ED by Dr Andrew Webster

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Assessing the mental health patient in ED First of all, forget about ‘medical clearance’ of mental health patients – this terminology misses the point of the ED assessment of MH patients – after all, true medical clearance of ANY patient, let alone a MH patient ,is probably impossible. Really what we are aiming to do […]

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Benzos, back pain, Descartes and depression

This week I got involved in an online debate that started at LITFL’s Socrates and Sophistry section, then spilled over into the less-civilized Twittersphere.  Dr Minh le Cong @rfdsdoc (PHARM podcast) and I got into a bit of a debate about the role of benzodiazepines in acute back pain management.  I took the no, not […]

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Placebo paradox: Descartes dilemma

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Your intern in ED has just seen a 25 yo. woman who has presented with 30 minute history of SOB, tachycardia and feeling like she is going to faint.  Her obs at triage are normal other than tachypnea @ 30/min.  To examine her chest is clear.  She is sating at 100% on 6 l/m HM. […]