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Lactate PK by Dr Laura Castle

Welcome back to our third and final PK presentation from the recent ACEM Winter Symposium in Broome. Dr Laura Castle is a JMO in the Broome ED and I gave her the challenge of covering everything to do with “lactate” in 6mins and 40 secs.  Now there is a lot of physiology, controversy and practicality […]

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Rural Trauma Podcast: Emergency Trauma Management Course

A quick shout out today to Drs Amit Maini and Andy Buck who are a couple of Melbourne-based ED docs who get out into the far reaches of Australia to work and are now planning to roll out a new trauma course. The theme of the Emergency Trauma Management course is taking your training further […]

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Clinical Case 087: Sepsis Kimberley-style (for ACEM)

This is not just another Clinical Case that I am sharing with you all today.  This case is going to form the basis of the Broome Docs team presentation at the ACEM Winter Symposium here in Broome on the 15th June 2013. So this is your chance to get involved – and share your opinions […]

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PHARM Podcast: the 4 Resusciteers

Had a great day doing all sorts of teaching, clinical conundrums and great medicine.  Started with septic joints, gout and pus, ended with a DC cardioversion and more pus! Highlight of the day though was a chat I had over the ether with 3 other Australian Docs: Minh le Cong (PHARM), Michelle Johnson (LITFL) and […]

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Should Normal saline be the norm?

Here is my observation of clinical practice in most places I have worked in Australia. The doctors use normal (0.9%) saline as a default fluid for most situations.  It is recommended by all the resuscitation algorithms as the first line and whenever an intern charts some fluid – you can bet that 90% of the […]