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Clinical Case 094: Little one in big trouble

Todays case is a Paediatric peril. Just for fun I thought I might run this case backwards.  Start with where we end up and how we got there.  You can tell me how you would have done the middle bit. So here is a shot from the monitor about 20 minutes after intubation. Not the […]

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Ventilation Basics

Hi Broomers Todays vodcast is an introductory talk on the basic physics and physiology of positive pressure ventilation – IPPV or NIV. For some of you this might be teaching you to suck eggs.  But for me this is full of stuff I wish that I had been taught in my early days of Anaesthesia. […]

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Clinical Case 036: Silent, sitting sepsis

This case is part of my “Sepsis week” at Broome Docs.  Lets say this case happpens in January, just after the first big rain for the wet season. 58 yo Aboriginal man, presents to triage at ED complaining of “cold sick” [flu] symptoms. Has been feeling hot, sweating and had a non-productive cough intermittently for […]

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Clinical Case 020: the ABC of APO

53 yo man with a history of hypertensive cardiomyopathy presents to ED at midnight with severe dyspnoea.  No chest pain, no oedema, no fever, cough or signs of infection. On examination he has bilateral creps up to his scapulae, invisible JVP due to big neck / beard.  ECG shows an old LBBB, same as previous. […]