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Sepsis Kimberley style: Fluid Management by Dr James Wright

Welcome back – I have had a few weeks away from Broome and back to the job today. This video (VODCAST) is a follow on from the recent ACEM Winter Symposium presentation we did with the Broome ED JMOs. This episode is part 2 – should follow on from Dr Laura Smith’s case and outline. […]

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Kawasaki’s Disease – a PK

A quick disclaimer – I know that PK talks are supposed to go for 6 minutes and 40 seconds – but I am a lazy man. So this one is a bit longer. Still 10 minutes is respectable for such a fascinating topic. I love Paediatrics – acute, ED / GP Paeds!  Why?  Because I […]

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A dose of Dex?

I have a confession.  For as long as I can remember I have been prescribing a dose of dexamethasone or two for people with acute tonsillo-pharyngitis.  Now, I always thought this was a little bit naughty, not really “the done thing” for a doc who tries to be evidence-based.  But over the years I have […]

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Clinical Case 049: the Unseen ECG

I was sitting at the desk writing up some notes when the triage nurse stuck the following ECG strip under my nose. The story was that this chap was a hypertensive, obese, diabetic vasculopath with impaired renal function who had presented with a fever of 39 deg and nasty looking diabetic feet (see Clinical case […]

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Paracetamol: mostly harmless?… the sequel

Got a comment from my colleague – Dr Y Levy that got me thinking about fever, the big picture and all those little kids getting dosed up by well-meaning parents.  So I have revisited the Panadol debate Here is what Hoods had to say in his comment: “Way back in 1927 Julius Wagner-Jauregg won a […]