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First10EM Journal Club: November 2019

We are back!  Another journal club with Dr Justin Morgenstern.  This month we have a really diverse bunch of papers that looks at CRASH-3, distraction techniques for kids in ED, making the patient experience better, wound closure and syncope workup (Spoiler: CTs ain’t that great). As always the full-text PDFs are available at the cost […]

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Delayed Dialysis Disasters

Working in the Kimberley is a constant challenge.  The medicine is fascinating, the logistics can be difficult.  Fortunately, our patients tend to be quite robust.  There is one particular scenario that epitomises this dynamic perfectly – the “missed dialysis” patient. What am I talking about?  There are a few things to you need to know […]

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First10EM Journal Club: August 2019

Hello! We are back.  After nearly 2 months of hiking, cruising, paddling and driving all over North America I have just returned to sunny Broome and managed to do some actual work.  Apologies for the downtime and I hope you enjoyed the collaboration projects. Justin Morgenstern has sent me another batch of papers which we […]

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Stump the Chump with RVTS

My latest collaboration podcast whilst away on leave was a recorded “Stump the Chump” case discussion with the RVTS Grand Rounds. The RVTS is the Remote Vocational Training Scheme I it is a vocational training program for medical practitioners in remote and isolated communities throughout rural and remote Australia.  The purpose of the program is […]

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PODCAST: Vancomycin by Continuous Infusion

A few weeks ago I posted on Vancomycin and the Nephrocidal Maniacs – in that post I described the problems that we have in the Kimberley with MRSA, renal disease and sepsis.  We walk a fine line between toxicity and efficacy when we treat our patients with severe, limb-threatening infections. I have learned a lot […]