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A Chat with Dr Jim McDonald

Gday team. This is a conversation I had with my mate and mentor Dr Jim McDonald.  Jim is a 45 year veteran of GP.  Based in Melbourne – he has worked all over the country as a rural locum.  He has delivered over 4000 babies in the suburbs of Melbourne and trained countless GP registrars […]

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Clinical Case 101: Going Glass Hunting

Broome is a fun place – it is always warm, the locals are nearly pathologically “laid back”.  Shoes are worn by fewer than 50 % of the populace!  This creates a few common ED scenarios.  Foot infections and injuries are common – especially the “glass foreign body in foot” scenario. Now – I remember when […]

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Clinical Case 088: Putting the art into arterial lines

  Today’s case come from Dr James Wright [NHS RMO refugee in Broome ED]   Arterial lines are a common procedure – can we do it better? A 35 yr old lady presents to the emergency department with a worsening four day history of pyrexia, malaise, nausea and lethargy. She is usually fit and well. […]

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Ultrasound tip: multi-beam ON / OFF

G’day, here’s a quick tip from one serious ultrasound enthusiast to you all. I have learned this by hard trial and error, it is one of those simple tricks which I probably should have learned early on in my US training, but missed.  Of course, I had a fool for a teacher! So I am […]

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Paracentesis: are you stabbing in the dark?

Had a few problematic ascitic taps recently in our place – so I thought I would have a look at the evidence around paracentesis, what is new and what works.  There are a few medical “rules” out there for this procedure, but are they supported by the data? Click to see my review of each of […]