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Clinical Case 118: Thinking outside the box

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OK team – a Paeds case for you today.  It’s one where I am going to give you just a few clues and you have to think up the diagnosis. Here we go….. Jemimanisha is an 8  yo. girl who lives in an Aboriginal community about an hour away. She has been brought to ED […]

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Clinical Case 116: FEAST or Flush Fluids

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Today’s case is about the Resus of severely dry children – very typical of Broome.  But before we get to the case – here is a bit of a review of some recent learning I have had on the topic.   I have started to rethink the traditional acute fluid resuscitation management of these kids.  The […]

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Clinical Case 114: Skull and Crackedbones

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This case is inspired by a recent Twitter discussion with fellow Pads ED enthusiasts – Tessa Davis [ @TessaRDavis ] , Andrew Tagg [ @andrewjtagg ] , Rachael Rowlands [ @rachrwlnds ] and whoever else was reading. As a background – you probably should read my previous ramblings about Paediatric head injury assessments here: Kids […]

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Clinical Case 112: Pulled Elbow Tricks

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Your next patient is 2 year old Sadie.  She has presented to the ED with a very guilty looking father.  He says that he was “watching the kids” whilst his wife went to the store.  They were playing in the back yard when thing got a little crazy and he attempted a complete 360 vertical […]

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Clinical Case 111: Toddler’s Tibia Tale

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Another quick ultrasound case. I usually work nights and weekends – and that means that we have no onsite Xray services.  Hence there is always a reason to use ultrasound to enhance our diagnostics!  In fact if you are coming to SMACC Chicago in June this year – you can hear me prattle on about […]