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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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VTE Risk and Prophylaxis: Devil in the Details

VTE is a problem – there is definitely a risk of hospitalized patients acquiring and either dying or developing complications from VTE. The problem is that “hospitalized patients” includes very heterogeneous groups of patients.  We know that the higher risk groups DO benefit from appropriate VTE prophylaxis: Orthopaedic surgical patients General and gynaecological surgery Oncological […]

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First10EM Journal Club: October 2018

Welcome back.  It has been a long time between drinks as I have been away on long-service leave and enjoying life outside of Medicine. If you want to see a bit of my “work” that involves cameras and animals then please check out my other site: CaseyParker.org  for a taste of the artistic side.  I […]

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First10EM Journal Club: May 2018

Gday – welcome back! It is podcast time.. It is May and that means another episode of the journal club with Dr. Justin Morgenstern. This month we cover biases, show our biases about bronchiolitis therapy, cute scrotums, judging and dealing with capacity and how butt-slapping might help you delouse your colleagues…. [DISCLAIMER: we do not […]

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Clinical Case 143: a Perfect Airway Storm

This episode I reflect upon a really tough airway case. I have asked a number of airway gurus from the FOAMed community to comment on the logistics and plan to manage this case.  Thanks to Tim Leeuwenburg, Rich Levitan, Roger Harris and Dr Richard Lewis of their contributions. The patient 50 year old woman with […]