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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 […]

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Resus Room Feng Shui

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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 […]

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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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Optic nerve sheath diameter: window to the soul?

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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 […]

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O.A.S.I.S. : Optimal Airway Strategy In Situation

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So you might have noticed a bit of banter in the community about airway management in the last few weeks!  What’s new? [ I usually try to stay out of the airway stuff - as there are many brighter and more expert "airway bloggers" out there. ] A lot of debate about cricoid pressure and […]