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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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Clinical Case 116: FEAST or Flush Fluids

Today’s case is about the Resus of severely dry children – very typical of Broome.  But before we get to the case – here is a bit of a review of some recent learning I have had on the topic.   I have started to rethink the traditional acute fluid resuscitation management of these kids.  The […]

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PODCAST: Pushing Pressors in the Periphery

The mantra of the Broome Docs site is “bringing great care, out there.”  And today’s topic goes right to the heart of that theme.  It is one of my pet topics – so apologies in advance if the rant is too long or detailed. This is a discussion about the early management of septic patients. […]

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Clinical Case 102: Found down, Fluid please

Ok a quick case from the Kimberley.  It has been a while since I have done a quiz – so here we go!! This one is for the metabolic geeks out there.  Here is your chance to win the love and respect of your peers Imagine you are in a remote health clinic. 2 hours […]

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Clinical Case 096: Abdominal Ambiguity

Gday. Another quick case from the surgical files!  This is a diagnostic case that plays out intra-operatively. Put your thinking caps on – when does your “penny drop”? This is probably more for the Anaesthesia types, but there is plenty in here for the ED docs and even surgeons out there.  Here we go: 46 […]