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Paracetamol PR for Febrile Seizures?

Today I am reviewing a paper from the Paediatric literature that has created a small stir.  Ever since I trained we have managed simple, febrile seizures with no active intervention other than symptom relief and watchfulness.  The Paediatric party-line, based on some data, is that using anti-pyretic medications will not change the prognosis or rate of […]

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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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Old Doc, New Drug: Ticagrelor

We all love to interfere with the clotting cascade in modern medicine, and this is a new way to do so!  Yet another unpronounceable new drug.  Ti-CAG-re-lor  is the latest in the family of drugs [cyclopentyltriazolopyrimidines.. forget that word immediately ] that stop clots and start bleeding.  I like to call it “tiger claw” and everyone around […]

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Old Doc, New Drug: Umeclidinium

When I first saw the name of this medication… I honestly thought that some smart physicist had discovered a new element way down the bottom of the period table.  Naturally, being a total chemistry nerd, I was excited… until I realised that it was in fact just another boring drug to treat the most mundane […]

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First10EM Journal Club: July 2018

Good day listeners and readers alike.  Another episode of the Journal Club with Justin Morgenstern is out now.  The papers are all free and linked below.  You can also go over tot he First10EM blog and read the in-depth analysis from my favourite EBM nerd… This month we cover bougies, brain-bleeds and the best Paeds […]