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First10EM Journal Club: February 2019

Welcome to another edition of the Broomedocs/ First10EM podcast. This month Justin and I serve up a selection of serious and seriously unusual papers. Key learning points: sharks are safe, The NEJM is dangerous and you just may be able to outrun Death. As always – the links to the full text PDFs and into […]

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Clinical Case 135: Tackling Trauma in the Bush

This vodcast is a version of the talk I gave last week at the ACEM Annual Scientific meeting in Perth. We were asked to present a “challenging case” – I decided to present a trauma case that I think represents the maturation of my trauma practice. The case is pretty straightforward.  However, there are a […]

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Clinical Case 114: Skull and Crackedbones

This case is inspired by a recent Twitter discussion with fellow Pads ED enthusiasts – Tessa Davis [ @TessaRDavis ] , Andrew Tagg [ @andrewjtagg ] , Rachael Rowlands [ @rachrwlnds ] and whoever else was reading. As a background – you probably should read my previous ramblings about Paediatric head injury assessments here: Kids […]

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Optic nerve sheath diameter: window to the soul?

Almost exactly 3 years ago I posted an article looking at the utility of ultrasonographic Optic Nerve Sheath Diameter measurement to assess patients for raised intracranial pressure.  That post is here The idea is sound, the optic nerve sheath is an extension of the subarachnoid space – so if ICP goes up it should expand […]

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Clinical Case 095: Smashmouth vs. Surgeon

Gday, it has been a few weeks since the last clinical case.  Today I have a rural trauma case with a twist.  I have been doing a lot of pondering around logistic and practical matters with regards to managing trauma in a smaller hospital.  I keep getting stuck on a few points – so I […]