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Blood ‘n Guts: hold the blood, save the patient?

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One of the trends of recent trauma literature has been the use of “minimal volume” or “permissive hypotension” strategies in the face of bleeding. Now there is a new study from the New England Journal that compared 2 transfusion strategies in acute upper GI bleeding. And guess what?  It looks like less is more in […]

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Clinical Case 047: Not so sweet feet

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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 […]

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Clinical Case 026: Hangover Haemetemesis

10:00 AM, 33 yo man with a history of frequent binge-drinking presents to ED by ambulance after his flat mate found him spewing up blood in the bathroom.  The two had been on a big night out, about a carton each (normal for Broome).  Had a late night kebab and retired around 3 AM.  The […]

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Clinical Case 017: Dr Sally’s Unusual Ulcers

This case come from Dr Sally Singleton, Broome ED JMO, who is currently studying her diploma in Tropical Med. A 43 year old Burmese male was transferred to our hospital from an Australian customs ship. Three days earlier, he and his fellow asylum seekers had been found off the North-West Australian coast. They were in […]