IN THE NEWS

Journal Club – February 2023

Journal Club – February 2023

Our team discuss the papers from our February 2023 Journal Club: A sepsis theme this month looking at: introduction of an ED pharmacist lead sepsis-alert system; fluid restriction for sepsis on ICU; and peripheral vasoactive administration for paediatric patients with septic shock.

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I Need A Dermatologist, STAT

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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Ovarian Hyperstimulation Syndrome

Ovarian Hyperstimulation Syndrome

A 30-year old woman presents to your Emergency Department complaining of mild abdominal discomfort and exertional dyspnoea. She feels well and doesn’t particularly want to be in hospital, but was told to present by her fertility team as she had recently had in-vitro fertilisation.

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Croup

Croup

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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Fast Friday #6 – Spinal Injury

Fast Friday #6 – Spinal Injury

A 30 year old bricklayer has fallen 3m off scaffolding onto the hard ground below and has been unable to mobilise since the incident. The patient presents complaining of back pain with associated altered motor function and sensation to his lower limbs. He is GCS 15 and his vital signs read a BP 80/40 mmHg, Heart Rate 47bpm, Oxygen Saturations of 100% on room air and his temperature is 37 degrees Celsius. He has warm hands and feet. On examination you notice that power of his lower limbs is 0/5 in all myotomes and he cannot appreciate sensation below the dermatome level of T4.

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