We're back to an old question of should we give antibiotics for otitis media? The factors always being weighed up have been around the benefit which...

Here’s a patient presentation, I have residents and registrars discuss with me frequently. An elderly patient who had a mechanical fall at home is b...

A 72 yo patient presents with what appears to be a pre syncopal episode at home. This is on a background history of having had a valve repair 3 wee...

Patients with acute aortic syndrome, may be very difficult to diagnose. Patients who present with textbook ripping severe chest pain and accompanyin...

Syncope has three components: (15 minutes read)

1. Loss of consciousness
2. Loss of postural tone and
3. Return to baseline

Patients with syncope com...

 Syncope is not uncommon, occurring in up to 25% of children. Most causes are benign, however we need to be aware of the of 3 major groups as these ca...

Dr James Edwards Discusses this important topic

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Beware the 4 main areas that can result in cardiac arrest peri-intubation.

1. Hypotension
2. Hypoxaemia
3. Severe Metabolic Acidosis
4. Right Ventricular
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Here is a common scenario: The resident presents a case of a 58 yo patient who has presented with shortness of breath. They go over the examination,...

The 'zero-point survey' is the pre-primary survey. It is about preparing self, the team, the environment and the equipment. It is a 'cognitive roadmap...

Dr Adam Michael talks about hyponatraemia; the causes and the management.

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The Study
Cohen AL et al. Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Resuscitati...