Clinical Case 118: Thinking outside the box

pretty brunette teen girl with a look of distress

OK team – a Paeds case for you today.  It’s one where I am going to give you just a few clues and you have to think up the diagnosis. Here we go….. Jemimanisha is an 8  yo. girl who lives in an Aboriginal community about an hour away. She has been brought to ED […]


Clinical Case 116: FEAST or Flush Fluids


Today’s case is about the Resus of severely dry children – very typical of Broome.  But before we get to the case – here is a bit of a review of some recent learning I have had on the topic.   I have started to rethink the traditional acute fluid resuscitation management of these kids.  The […]


On Sick Kids, Sore Throats, Swabs and Such

strept throat

Dear Fellow Doctors, I would like to take a moment of your time to discuss a point of medical practice which seems to remain controversial despite it being really common and a well-researched problem.  I would like to tell you about the modern management of the humble throat infection.  Yes, it is a really common, dare […]


Lactate PK by Dr Laura Castle

Lactate pic

Welcome back to our third and final PK presentation from the recent ACEM Winter Symposium in Broome. Dr Laura Castle is a JMO in the Broome ED and I gave her the challenge of covering everything to do with “lactate” in 6mins and 40 secs.  Now there is a lot of physiology, controversy and practicality […]


Sepsis Kimberley style: Fluid Management by Dr James Wright

sepsis fluid

Welcome back – I have had a few weeks away from Broome and back to the job today. This video (VODCAST) is a follow on from the recent ACEM Winter Symposium presentation we did with the Broome ED JMOs. This episode is part 2 – should follow on from Dr Laura Smith’s case and outline. […]