Lessons Hard Learned 3: 7 lessons from a Paeds ED

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This is episode #3 of “Lessons Hard Learned”. It is Paeds month at Broome Docs – so this is a Paeds case that demonstrates at least 7 lessons we can all learn. It is a bit of a Swiss Cheese scenario – lots of errors aligning to create a perfect storm where disaster can occur. [...]

Lessons Hard Learned: Dr Tor Ercleve

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G’day readers and listeners, This is a new concept for the Broome Docs blog. I am really interested in the psychology of Us – how our brains work (or not on occasion).  I really believe that there is a lot we can learn from the lower points of our careers – the times when things [...]

Clinical Case 079: Is it Pyloric stenosis?

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Picking the baby with pyloric stenosis from all the refluxing, positing and normal kids can be tricky.  In GP land this is a really common presentation: a new mum with a kid who “spews” after feeding.  We know that the vast majority of these kids will have no pathology, but you really don’t want to [...]

Cross-pollination: Paeds procedural sedation

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One of the benefits of being a generalist, a doc who tries to do a bit of everything is that from time to time I find that a trick, concept or idea from one area of practice jumps and screams to be used in another area of practice. So I thought I might throw out [...]

Clinical Case 077: Fluid balancing act

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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 [...]