Tuesday, 12 May 2015

Nepal 2015

Dear readers and subscribers,

The lack of activity on this site over the last few weeks is due to the authors on this site being deployed or in support roles for a medical mission to Nepal in the aftermath of the earthquake. We will resume regular EM material as soon as possible. 

Apart from the ongoing destruction, do remember that rehabilitation and reconstruction is a long term process and lasts years. Relief organisations will need funds not only for the coming monsoon seasons but for permanent shelters. 

Learn more and if you can, donate here:

Mercy Relief Singapore

Red Cross

SG gives

Thursday, 23 April 2015

Low dose special K

Here's a video from Prof Larry Mellick which demostrates the efficacy of low dose Ketamine (as an infusion) for neuropathic pain. Ketamine, for those that who are unaware, can be used for the following purposes quite safely. Here is St Emlyn's view on this.

  • Analgesia
  • RSI (most useful in trauma)
  • Maintenance of sedation (ventilated patients)
  • Procedural sedation (esp for children)

For more of his great videos, go here.

Tuesday, 14 April 2015

Webucation 14/4/15

The edition of web wisdom encompasses lots of radiology, a smattering od dogma-lysis and even some phramacology. Pls credit the original content creators.

The last link shows us the quality of critical appraising and high level analysis that is out there in the world of FOAM. Long may this continue.

Friday, 3 April 2015

Outside the abdomen

Here's another great case from Prof Larry Mellick.
Reminding us that sometimes abdominal pain pathology is "outside the abdominal examination".
Also remember these other pathologies when formulating a differential:
  • Inferior MI (adults)
  • Lower lobe pneumonia
  • Hernia

Wednesday, 11 March 2015

Bridge over Diagnosis!

With a more than impressive nod to Simon and Garfunkel, this ballad from James McCormack is a stirring tribute to sensible healthcare, contextualising each patient and treating guidelines as what they are - GUIDE LINES.

You can see his other videos here.

Wednesday, 25 February 2015

Sonowars form SMACC 2014

For those who love ultrasound and for those who would like to know more about it, here is a very good demonstration on how to make it fun in a conference setting. My old mentor Dr Adrian Goudie and his fellow WA colleague Dr James Rippey team up to "go against" the dynamic duo from http://www.ultrasoundpodcast.com/ .
Thanks to the SMACC organisers who posted this on the web.

SonoWars from Social Media and Critical Care on Vimeo.

Monday, 16 February 2015

Webucation 16/2/15

This edition of web wisdom comes from the domains not just land based radiology and paediatrics but also a gem of a myth-buster from the air. Soeaking of air, LITFL does quick work on something familiar. Pls credit the original content creators when able.
  • Your lungs will no explode - Aeromed myth busting finally

  • The last link is another great piece of dogma lysing which is all too common these days with the advent of sensible, pragmatic studies which are permeating our profession. Long may it continue.