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First10EM Journal Club: May 2017

We are back with another set of papers to dissect, discuss and digest.  Justin and I have been working on a few big projects and are in full prep for the upcoming DasSMACC meeting in Berlin. We managed to skip April, but we are planning something a little special for June in Berlin. If you […]

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Thoughts on the WOMAN Trial

Postpartum haemorrhage is really quite a broad term. I frequently manage women with retained placental tissue who require manual removal in theatre to halt persistent bleeding. This is routine, mundane Obstetric care. We follow well-trodden protocols. Most of these women do well. We sometimes need to resort to steps 3 or 4 in our algorithm […]

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January 2017 First10EM Journal Club

Greetings fellow EBM nerds of a feather! Its the the end of the month already which means that it’s time to review all the interesting  papers that Justin has found on his night table in his cold, Toronto apartment. This month is we do are covering othopaedics, zipper injuries, anxious chest pain patients and a whole […]

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Clinical Case 138: the Possibly Paraletic Paedestrian

This is a bit of Medical MacGyverism that I have tried in the past and failed, but got right recently. Here is the case – could be any day in our shop… The ambulance have arrived in ED with a young man who was “found down” on the sidewalk with no witnesses to the preceding […]

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Clinical Case 136: the Diagnosis and Discussion

Last week I posted Clinical Case 136: A Maternity Mystery If you have not had a read – then please go back and ponder the scenario before reading the rest of this post. If you have been following along on the comments or social media then you will know that this is a tragic case. […]