Ultrasound for Epidurals… I ask an expert: Dr Mitch
I have had a few readers ask questions about the use of ultrasound for the difficult epidural – usually in the labour ward context, but...
Clinical Case 048: We Ask an Epidural Expert
This case is an opportunity for us to learn from an expert. Epidural analgesia in labour can be rewarding and infuriating. So I have enlisted...
Clinical case 039: Ectopic ectopic – a Gedankenexperiment
This case starts with a bad gas. This patient arrived ‘in extremis’. Suspected ectopic transferred in by plane with the following data: Urinary HCG positive...
RLQ Pain in Pregnancy (the sequel)
A few weeks ago Rob Orman (ER Cast) did a great interview with Dr Ingrid Lim at ACEP which looked at the diagnosis of the...
Ectopic pregnancy – HCG hiccups, some older evidence
When I went to med school we were taught that the B-HCG level doubles every 48 hrs in early pregnancy – and if it wasn’t...