A 40-year-old Male with a Serpiginous Foot Rash

This case has been inspired by events in the Torres Straits and details have been changed to ensure patient anonymity. History A 40-year-old male presented to his primary health care practice during the wet season somewhere in the Torres during the wet season. He had an intensely itchy rash to his...

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,...

Does induction of labour prevent shoulder dystocia?

 Early IOL for women with suspected fetal macrosomia,who do not have gestational diabetes,does not improve either maternal or fetal outcome.(Evid level 4) In women with gestational diabetes, the incidence of SD is reduced with early IOL.(Evid level 2+) The NICE diabetes guideline recommends that pregnant women with diabetes who...

What dose Ketorolac?

Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial Motov, Sergey et al. Annals of Emergency Medicine 2016 Dec. Study Design: N = 240, 18-65 years Randomised to receive 10mg, 15mg, 30mg IV ketorolac as single dose (double blinded)...

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...