Lessons Hard Learned – Episode 6 with Dr Melanie Thompson

ROCHESTER-malaria1

Gday, it is still Paeds month – so I have dragged an unsuspecting local Paediatrician up to the mike! This is # 6 in the series of Lessons Hard Learned. IN this episode Dr Mel Thompson recounts a truly terrible experience in a remote, resource poor and difficult environment. However, some of the lessons from [...]

Clinical Case 083: Itchy britches

killer undies

Hi readers – another case-based quiz for you all. In case you had not noticed – it is Paeds month here at Broome Docs.  So, apologies to all you adult docs out there. This case falls into the category of Boring EM. {check it out if you like common, everyday ED pearls} A 17 month [...]

Clinical Case 077: Fluid balancing act

Sell-Red-Kidney-Bean

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 [...]

Clinical Case 073: Sorting out the RIF raff

lap appy

This post is dedicated to Dr Andre ( @keeweedoc ) who has just divorced his appendix with the aid of a laparoscope. [why do surgeons do lap appys in fit, young men with clear diagnoses? ]  RIF in peace Andre. In my shop RIF pain is common – as it is everywhere.  The unique thing [...]

Clinical Case 047: Not so sweet feet

Figura 6

This week a classic Australian remote area case.  There is so much to discuss on this case!  But I have isolated a few key points to put under the microscope, and get your input / expertise. 47 yo. Aboriginal woman has returned to the ED complaining of painless purulent lesions on her left foot.  She [...]