post

Clinical Case 109: Eyes, Air and Ultrasound

eye clock

A quick case that shows how we can use ultrasound in clinical assessment of eyes and why US makes me look like a better doctor. 30 year old woman – was punched in the face 3 days ago at a disco.  She sustained a small laceration over the inferior orbital rim – but went on […]

post

Clinical Case 108: Planes, Drains and Pneumothoraces

RFDS

Another case inspired by a Twitter debate today. A Tweet Case was put forward by @FlyingDrBen  (Ben Darwent) who is based in Perth WA – home of LITFL. My friends Minh le Cong, Karim Brohi and Tim Leeuwenburg started a discussion around the case.  Fair to say it got way too big for twitter!  So […]

post

Resus Room Feng Shui

Screen Shot 2014-09-01 at 10.27.59 pm

Just had to reblog this one.  My mate and fellow “madman” of rural FOAM has just posted his SMACC talk slides for you all to check out – he was a star of the SMACC stage and did a great job selling the rural scene as the place to do great Medicine .   So […]

post

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 […]

post

Optic nerve sheath diameter: window to the soul?

ONSD gr

Almost exactly 3 years ago I posted an article looking at the utility of ultrasonographic Optic Nerve Sheath Diameter measurement to assess patients for raised intracranial pressure.  That post is here The idea is sound, the optic nerve sheath is an extension of the subarachnoid space – so if ICP goes up it should expand […]