Clinical Case 077: Fluid balancing act

Sell-Red-Kidney-Bean

This is a tough one – a clinical scenario that is unfortunately a bit too common in my part of the world.  I want to know how you would go about balancing the fluids in this case, what will you use to measure the adequacy of the resuscitation / fluid administration.  It is a tight [...]

GET FOAMed: Generalist Emergency Training, free meducation

bubbkles

Today I “attended” the first Google Hangout session of the GET FOAMed Rural masterclass. This is a new collaboration between Drs Minh & Shelly le Cong, Tim Leeuwenberg, Michelle Johnson and myself.  We are all doctors with a passion for improving the standard or rural health, with a focus on the acute care.  The catch [...]

Clinical Case 068: Surviving sepsis. Serial scans for super-sick sheila

lat cxrred

My newly arrived UK RMO Dr Laura Castle and I managed a sick lady today and we used the bedside ultrasound to assist us in 5 modalities.  Now even I struggle to use US that much, but this case required a lot of thinking and it happened on a slow Sunday – so not much [...]

Medical Myths: Fever = blood cultures now!

When I was an intern in a big old hospital one of the tasks we did was taking blood cultures off of patients who spiked fevers on the wards.  In fact thinking back on it, I think I was taking cultures to appease the senior ward nurses and not really stopping to think about the [...]

Clinical Case 047: Not so sweet feet

Figura 6

This week a classic Australian remote area case.  There is so much to discuss on this case!  But I have isolated a few key points to put under the microscope, and get your input / expertise. 47 yo. Aboriginal woman has returned to the ED complaining of painless purulent lesions on her left foot.  She [...]