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Clinical Case 077: Fluid balancing act

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 […]

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Clinical Case 047: Not so sweet feet

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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Irukandji syndrome – the swarm hits Broome

We had our first ‘swarm’ of Irukandji syndrome victims for the season last week – with associated media frenzy! For those of you who are not familiar with Irukandji syndrome – it is a jellyfish envenomation, the villain is the Carukia barnesi, a tiny little jelly fish with just 4 tentacles that packs a mighty punch! […]

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Clinical Case 036: Silent, sitting sepsis

This case is part of my “Sepsis week” at Broome Docs.  Lets say this case happpens in January, just after the first big rain for the wet season. 58 yo Aboriginal man, presents to triage at ED complaining of “cold sick” [flu] symptoms. Has been feeling hot, sweating and had a non-productive cough intermittently for […]

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Sepsis: the first “Golden” hour

Last post we looked at trying to sort the sick patients from the rest in ED – the goal is to identify them early.  Great – but why is this important? The evidence from the huge trials all over the world has come up with a lot of data supporting the concept that Early Goal […]