Bleeding Noses

I’ve never been much of a fan of epistaxis – it’s messy, has the potential for life-threatening exsanguination – and involves fiddling around in tight spaces. My last ‘big bleed’ was in an elderly patient, over-anticoagulated on warfarin with a posterior bleed. Not reassured by her BP of 110 (usually 150) and HR of 90 …

Tired & Grumpy

I have been trying to work it out – just HOW unsafe is a doctor after being continuously awake for many hours without uninterrupted break? I’ve just worked the weekend on call for emergency in our small rural hospital. We work a 1:6 (one 24 hr period ‘on call’ for hospital emergencies shared between the …