Category: Teaching

Magnesium for leg cramps…just as good as placebo?

Clinical question: does magnesium work for leg cramps? Findings 1: Cochrane review, 2012 Both magnesium & placebo reduce the frequency of leg cramps with a non-significant difference between the two groups.  The Cochrane review analysed four RCTs (n=322), two of which were deemed to have a high risk of...

Week 6.1 – Sepsis

What is it? Sepsis is defined as life-threatening organ dysfunction secondary to an infection. Early recognition and early management of sepsis is critical. Sepsis kills more than breast or prostate cancer here in Australia. Have a look at this great summary video from JAMA on defining sepsis and septic...

Week 5.1 – Non Invasive Ventilation

CPAP and BIPAP can be daunting to commence if you’re not familiar with your emergency department equipment. This week we get started with our NIV machine – the Oxylog 3000. Having a dedicated BIPAP machine is somewhat of a pipe dream for our ED, but on the bright side...

Week 4.1 – Chest Pain Emergencies

This week we explore the variety of chest pain emergencies that present to our Emergency Department via ambulance, dinghy, helicopter or even sometimes by bicycle. Taking a targeted chest pain history and performing an efficient examination is a skill that develops over time. This skill is essential, particularly in...

Week 3.1 – Airway

This week we get acquainted with airways. Airway almost always comes before breathing and circulation in the life support algorithm, for good reason. Being able to assess and manage an airway is a core critical skill for an emergency doctor. The first excellent post to read today relates to...

Week 2.1 – Anaphylaxis

This week we covered the important and life saving treatment of anaphylaxis. There are no tricks, the answer is adrenaline. Know your doses, know your adrenaline dilutions and know what to do next. Important readings for this week are below. Anaphylaxis: Anaphylaxis Anaphylaxis in children: https://www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/ Pediatric Anaphylaxis Lastly...

Week 1.1 – Vascular Access

Establishing vascular access urgently in the emergency department can be critical and life saving. This week we discuss and practice the variety of ways you may establish access in urgent and non-urgent situations (including peripheral intravenous cannulas, rapid infusion catheters, intraosseous and central venous catheters/PICC lines). Can’t get IV...

Week 1.0 – Welcome to the ED Teaching Program

The Island Docs ED Teaching program occurs twice a week at flexible times to suit our ED resident, medical students and the SMO. Teaching sessions are a two way learning process for our juniors and seniors. As we will not even begin to cover the essentials of emergency medicine in these...

Q. Is bed rest an effective treatment for anything?

Meta-analysis on 39 randomised control trials for 15 different conditions (5777 patients) Following a medical procedure: Out 24 RCTs-No outcomes improved significantly 8 worsened significantly in some procedures Lumbar puncture – vertigo, nausea and vomiting (no significant improvement in headache) Spinal anaesthesia – headache, back pain Radiculography – headache,...

Even Short-term Oral Steroids Carry Serious Risk

Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j1415 (Published 12 April 2017)Cite this as: BMJ 2017;357:j1415 Cohort study of more than 1.5 million adults 30 days of initiating these drugs, even at relatively low...