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Clinical Case 104: FAST Thinking

RUQ FAST view

This is a trauma case.  I want to use this case to illustrate something about the way we think about trauma when it comes to making calls using ultrasound – specifically the FAST exam.  FAST exams are ubiquitous in modern ED practice – but if executed and interpreted poorly – they are potentially a source […]

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Clinical Case 101: Going Glass Hunting

Foot FB

Broome is a fun place – it is always warm, the locals are nearly pathologically “laid back”.  Shoes are worn by fewer than 50 % of the populace!  This creates a few common ED scenarios.  Foot infections and injuries are common – especially the “glass foreign body in foot” scenario. Now – I remember when […]

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Clinical Case 096: Abdominal Ambiguity

Digestive_Only_Small_01

Gday. Another quick case from the surgical files!  This is a diagnostic case that plays out intra-operatively. Put your thinking caps on – when does your “penny drop”? This is probably more for the Anaesthesia types, but there is plenty in here for the ED docs and even surgeons out there.  Here we go: 46 […]

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Clinical Case 095: Smashmouth vs. Surgeon

old_man_high_pants-257x300

Gday, it has been a few weeks since the last clinical case.  Today I have a rural trauma case with a twist.  I have been doing a lot of pondering around logistic and practical matters with regards to managing trauma in a smaller hospital.  I keep getting stuck on a few points – so I […]

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Clinical Case 091: A Pessimists Guide to Trauma

UncertaintyAhead

Had a tough trauma case the other day.  Not tough as in: “dying quickly” kind.  But tough as in the decision points were not clear, the findings a little equivocal and there were plenty of diagnostic biases and errors available for me to commit. I have a tendency towards pessimism in my practice – it […]