Category Archives: Emergency medicine and critical care

Reports from the Top End – ASA Highlights Reel

Continuing the posts arising from the ASA conference (not the anaesthetics one, the Aeromed one), we share thoughts from just a few attendees with th esessions that proved to be a highlight.  The Northern Territory is known for many things. Even some things that aren’t related to crocodiles. Just recently it also hosted the annualContinue reading “Reports from the Top End – ASA Highlights Reel”

Ubuntu: Not another tachypnoeic pregnant patient!

Tweet Ubuntu case report: Dyspnoea in a pregnant patient Guest Author: Dr Neville Vlok | Editor: Dr Katya Evans History Mrs V is a 35 year old G3P2 female at 32 weeks pregnant by dates. She was referred to Ubuntu hospital for IVI antibiotics after being seen at the local clinic with a diagnosis of “severe…Continue reading “Ubuntu: Not another tachypnoeic pregnant patient!”

Communicating terrible news: Can we do it better? Liz Crowe at St.Emlyn’s

St.Emlyn’s – Meducation in Virchester #FOAMed   It’s every health professional’s most dreaded task to have to communicate difficult news to desperate patients, friends and relatives; particularly when someone has died. Think about this clinical case and ask yourself what you would do. A 46 year old man is involved in a motor vehicle accident…Continue reading “Communicating terrible news: Can we do it better? Liz Crowe at St.Emlyn’s”

The Clot Module

From Dr Chris Denny, Auckland HEMS Medical Director: Dear colleagues, 1. We need your help. We are testing a new clinical module: The ‘Clot Module.’ Why do we want another module? To borrow an ergonomic phrase – to task cluster. 2. Please read this article (password-protected for Auckland HEMS team members only) from the 2014 Annals ofContinue reading “The Clot Module”

Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.

A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat.  It resolved after about 5 minutes, but then recurred and was sustained for over an hour.  She called 911. EMS recorded these ECGs:Time 0:In V2-V4, there is ST elevation that…Continue reading “Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.”