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Clinical Case 090: Unstuffing the Turkey

You are at work in a busy little ED.  It’s just you and a bunch of junior MOs on the floor.  You are seeing all the patients that you can and handing out advice as you go.  Just after lunch one of your JMOs catches your eye…  “Can I run this patient past you boss?” […]

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Clinical Case 057: big PE, now what?

This is a pulmonary embolism case – but I promise – not another diagnostic case.  That territory has been well covered by all the big names in blogging over the past 12 months. This case is about decision-making after the diagnosis is made. Risk stratification and the evidence as it stands in 2012… 60 year […]

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Pulmonary Emboli – PERCs, Probability and Paradoxes

OK, if you are into Medical Blogs then you have to go and check out the giant clashes and fascinating discussion taking place over at the EMCrit site this week. Scott Weingart and David Newman have gone toe-to-toe in a mammoth debate over the decision rules used in EDs to decide how we manage the suspected […]

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Clinical Case 013: Big in Japan

Ok, here is the case this week.  Sorry – another tragic one, these seem to be the ones that stick in my mind. 32 yo Japanese woman on a working holiday around Australia.  She is thin, fit and well. No recent illness, travelling in Australia for a year working in the hotel industry mainly. She […]