A 25yr old lady presents via ambulance. She has a decreased level of consciousness with a GCS of 12 (E3V4M5). Her vitals signs are BP 90/50, SpO2 100% on 10L O2. You note an AV fistula on her arm. Describe and interpret (50%) Describe initial management (50%)
The Fellowship Exam Preparation page has been updated with the FE 2012.2 feedback and questions. As discussed yesterday during the session, keep a careful eye on the calendar as there will be a few minor changes coming up over the next few weeks pending a few shift swaps so that those with special interests in [...]
A new page has been added under the education heading where I will collect the master class presentations as we do them and link them here. Congratulations to Becky for giving me the first one. Don’t forget to send them to me after your talks. Find them here.
Starting Thursday May 2, at 07:00 each Thursday morning, we will be aiming to give a 1 hour tutorial on clinical examination skills in the ED. The tutorials will be held on the floor, with patients in the ED at that time. The effectiveness of these tutorials will be dependent on trainee attendance. I hope [...]
The Airway Programme is back! Beginning Thursday May 2, the 8 week Airway Module will begin at 08:30 in the small groups training slot. It is expected that the SHOs attend when possible. Registrars are also welcome and encouraged to attend. There is required pre-reading for some of the modules. These are not too onerous [...]
A 53 yo female with a history of hypertension presents to hospital after a collapse. She is currently asymptomatic. PR 72 BP 120/80 RR 16 Sats 97% RA GCS 15/15. This is her initial ECG. a) Describe and interpret (50%) b) Outline your management (50%) ECG emerg pa
A 20 year old man is brought to your ED by ambulance after being found collapsed at home folling a large polypharmacy drug overdose that includes venlafaxine. He has been intubated and recieved 500mls normal saline prior to arriva. The time of ingestion is not known. Obsetvations: BP 80/60, SpO2 100%, T 38.5. An ECG [...]
I think that the comments should start working again as from now. It should work automatically if you are logged in. I would encourage those who wish to take part in the questions to get a log in rather that just use email, it will also allow you to take part in discussions in the [...]
Some of you may have noticed some problems with question commenting. It appears that migrating to a more social media experience is playing havoc with this. Fortunately it still seems to be working via the activity stream (under the Member menu option)- you can comment on questions from here at the moment while I attempt [...]
A 40 year old man presents following a car accident in which he was the driver. He is clinically well with normal vital signs. Your registrar shows you this ECG, what is your. Describe and interpret this ECG.
It’s hard to knowwhere to start when reporting on SMACC. This link is one of the more enlightening things I’ve seen so far. A warning: be prepared to have most clinical discussions you witness and participate in made look like the ramblings of fools.
Hi all, Some of you may have noticed some site adjustments recently. The most significant is the addition of a social media component. You will notice that you are being asked to login to comment or to parts of the site. You may do this via email and username or using Facebook. Facebook is likely [...]
In conjunction with the presentation that you heard this morning I have collected some of the relevant information here. SmartEM Coronary CT SmartEM Stress Testing SmartEM Chest Pain SmartEM Update (includes update too Chest Pain podcast) The NNT Chest pain Under 40 The NNT Chest pain Over 40 The NNT Heparin for ACS plus a [...]