Author: Binula Wickramarachchi


Croup is one of the diseases we own. This is the quintessential paediatric ED reg condition. Often the triage nurse will give the dex before you’ve even seen the patient. But have you thought about what you are going to do if the dex doesn’t work?

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Metabolic Alkalosis

It’s 4:20am on a night shift, and you’ve finally caught up with the waiting patient list. Just as you’re thinking about where you could source some caffeine, you see a 26 year old male come up on the screen. The triage note reads: “2/7 epigastric pain, can’t sleep tonight”. You barely get a chance to chart the pink lady when a nurse places a venous gas result in front of you.

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