Ring, ring, why don’t you give me a call?

The phone rings. I wake from a deep sleep slightly panic stricken. It takes me a minute to comprehend that I’m in bed and on the phone to a nurse from an outer island. They run through their patient’s story, requesting advice. It takes me another minute to realise...

Non-sterile gloves for abscess I&D?

The clinic nurse was setting up for an incision and drainage (I&D) of an abscess.  After opening the dressing pack and laying out the necessary equipment, she inquired about my glove size.  I replied “small”.  She said, “oh no, Doc, what size STERILE gloves?” This made me question a...

Deadly App

Here is a list of apps that we use in our day to day rural and remote medical practice. This is a follow on from our list of online resources we can’t live without! You can check them out here. What apps would you add to the list?  ...

Silos in health care: how can we master them?

A friend of mine recently had a baby.  Let’s call her Amy.  She lives in one of Australia’s many quaint country towns. This week, in addition to managing the usual sleep deprivation and adjustment that comes with a newborn, she also had several appointments to attend.  She saw her...

The Torres Approach to Hepatitis B

Chronic hepatitis B (CHB) is widespread in the Torres Strait. Over the last few years there has been a focused effort within the medical team to devise a strategy to ensure safe and appropriate diagnosis and management of CHB. Extensive consultation with the local workforce and relevant specialists guided...

Magnesium. What’s in it for ATSI?

As we improve our preventative health screening practices in Remote Indigenous Health we inevitably encounter incidental abnormalities in routine pathology. Given our limited resources and developing recall systems, what do we do about them? Hypomagnesemia is a common finding in population screening in the Torres Strait.  Epidemiological studies have...

Helpful Resources

Here we’ve complied a list of our favourite online resources. Do you have any you’d add to the list? Primary Health Northern Territory Remote Primary Health Care Manuals Queensland Primary Clinical Care Manual 9th Edition Queensland Chronic Conditions Manual 1st Edition RACGP Redbook Guidelines for preventive activities Chronic Disease Management...

Reflections & Resources from the RACGP QLD Clinical Update

I escaped the rock recently and spent the long weekend in Brisbane.  In addition to the usual mainland activities (eating out, shopping, attending the local cinema and more shopping), I attended the RACGP Qld Clinical Update. I often come home from conferences feeling reinvigorated and inspired, but I never...

Man vs the Monsoon

Note: The purpose of this site if to provide free open access medical education (FOAMed) in the context of rural and remote health. Though all stories have been inspired by real cases, all identifying details such as names, ages, locations and background descriptions have been thoroughly changed to ensure...