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PEA: Do you POCUS? Jul 23, 2024

 A 68 yo patient is brought into the ED, post cardiac arrest.

The patient collapsed whilst out. Down-time was approximately 5 minutes;...

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Subclinical Atrial Fibrillation: A review of 11 studies Jul 23, 2024

You might ask; "Why's is subclinical Atrial fibrillation important?" We know that patients in atrial fibrillation(AF) have a 5 x risk of stroke...

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When to treat Hyperkalaemia Jul 23, 2024

 Does a normal ECG exclude Hyperkalaemia?
Do we treat patients with a K+ < 6.5 mmol/L?
Do ECG changes in hyperkalaemia predict a adverse...

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Stroke Chameleons, The Dizzy Patient and more Jul 23, 2024

 

ntroduction

Patients presenting with dizziness comprise about 4% of all emergency department presentations. Our role is to exclude central...

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Rashes Quiz II Jul 03, 2024

This is Part II in the series Dr Claire Wilkin-Marshall and Dr Adam Michael present this lecture.

Please Try and diagnose the following rashes and...

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Having The Family in During a Cardiac Arrest Jul 03, 2024

Dr Will Davies presents this important lecture. It is often a question asked. "Should I bring the family into the resuscitation cubicle during a...

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BRASH Syndrome: A Case Jul 01, 2024

 An 88 yo patient is brought into the emergency department with significant bradycardia. During the evening the patient has been at home and...

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Shocking the patient in asystole Jun 01, 2024

The patient in asystole, has a very poor prognosis. But is it really asystole?

Is there any benefit in giving one shock to that patient?

Surely we...

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Magnesium in Atrial Fibrillation: Magic or Mush? May 30, 2024

A 63 yo patient presents to the emergency department at 11pm at night in new atrial fibrillation with a ventricular rate of 167 bpm. There is no...

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UK-REBOA Trial May 29, 2024

In this Papercut we review the UK-REBOA Trial.

Rapid and effective control of haemorrhage in trauma results in better outcomes. Abdominal bleeding...

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Do You use VExUS? May 29, 2024

Venous Excess Ultrasound is a grading system of systemic venous congestion. It is useful in the emergency department for patients whose fluid...

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Rashes May 29, 2024

Welcome to the wonderful world of rashes. This is part one of two parts.

This EM Mastery is actually a quiz on rashes. Try it. Members login to...

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Dextrocardia: Can you pick it on ECG? May 25, 2024

This is a great case that highlights how important it is, to know how to check if your ECG lead placement is correct. It also includes a rare case...

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Papercut: Adrenaline vs Noradrenaline in Post Arrest Hypotension May 20, 2024

Up to one third of patients with out-of-hospital cardiac arrest(OHCA) have impaired myocardial contractility and vasodilatation. The mainstay of...

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Papercut: The CLOVER Trial May 19, 2024

 

Dr James Edwards discusses the CLOVER Trial comparing restrictive to more liberal fluid management in Sepsis.

 

Reference

The...

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Subsegmental PE May 19, 2024

Dr Adam Micheal reviews the  2021 Update to the CHEST VTE Treatment Guideline. Stevens SM et al. Chest 2021

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Practice Changing Resuscitation Papers May 19, 2024

Prof Paul Middleton brings us two practice changing papers

  1. Cretinous M A et al. Respiratory Rate: The Neglected Vital Sign. MJA 2008;188: 657-659
  2. ...
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Mastery: PEA. Do you Hocus Pocus? May 18, 2024

A 68 yo patient is brought into the ED, post cardiac arrest.

The patient collapsed whilst out. Down-time was approximately 5 minutes; bystander CPR...

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GARFIELD-AF Risk Score for Mortality Stroke and Bleeding May 16, 2024

The GARFIELD-AF tool allows a single calculation for mortality, stroke and bleeding and can assist in risk/benefit decision-making.

The...

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ICU will not take the patient May 15, 2024

An 88 yo patient who is fully independent, is brought into ED by ambulance in Cardiogenic Shock. The only past history the patient has is...

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Acute Atrial Fibrillation: What we do. May 15, 2024

In this podcast we go on the patient journey, of a 61 yo patient who presents at 11pm at night with an irregularly irregular pulse, at a rate of...

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What Energy to Use when Cardioverting AF May 15, 2024

When I cardiovert AF, I use the highest energy possible energy in the first cardioversion attempt. I consider this to be a resistant...

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The EPIC Trial: Pad placement for cardioverting AF May 15, 2024

When cardioverting patients in new atrial fibrillation, we want our first attempt to be our best attempt. 

The EPIC Trial(1) (Electrode...

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How do you cardiovert AF: Drugs or Electricity? May 15, 2024

Atrial Fibrillation is the most common arrhythmia we see. Conversion to sinus rhythm of recent-onset of atrial fibrillation is proven to be...

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