I Need A Dermatologist, STAT
None of us got into emergency medicine because we love rashes. A wise FACEM once told me, “I only care if it doesn’t blanch, involves their mucous membranes, has massive vesicles or their skin is falling off.”
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Author: Dave McCreary
Journal Club – January 2023
Our team discuss the papers from our January 2023 Journal Club: A paediatric theme this month looking at immobilisation of torus fractures, mid-arm point for paediatric ICC insertion, and screen time in paediatric concussion.
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Journal Club – December 2022
Our team discuss the papers from our December 2022 Journal Club: The EXACT Trial assessing the effect of lower vs higher O2 Sats targets post ROSC and the DOSEVF Trial assessing Double Sequential External Defibrillation compared to standard debrillation for VF arrest.
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Ventilation of the Morbidly Obese Patient
Imagine you’re on for resus in the middle of a night shift and you receive an alert for a shocked diabetic male with respiratory sepsis and DKA who has been intubated and will be arriving soon. Your initial reaction to this news probably wouldn’t worry you too much (aside from how severe the DKA must be to lead to a tube) knowing that the hard work has been done pre-hospital until the paramedic ends the call with a very casual, “Oh by the way the patient is 280kg.”
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Intractable Hiccups
A 72-year-old man presents to the emergency department with persistent hiccups for 4 days. As you walk over to his cubicle, you think back to all the different ways you’ve tried to cure your own hiccups. What does holding your breath, drinking water upside down and getting frightened have in common anyway?
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