Emergency

It’s a Clinical Handover…not a Discharge Summary!

I’ve been the ICU reg, critical of ED referrals. I’ve been the ED reg, critical of prehospital care and low quality primary care referrals I’ve been the primary care doc, frustrated with “GP to chase…” letters from tertiary centres and the lack of information in discharge summaries (and sometimes the lack of a summary!) This is of course […]

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Keeping It Real – Forget ECMO, Crowdsourced Community CPR Is Needed

Advances in modern emergency medicine and critical care are amazing. Previously unsalvageable patients may be rescued, thanks to both attention to detail for the basics (FAST HUGS IN BED) and advances in ventilation, inotropic support, antimicrobial therapy and technology such as extra-corporeal membrane oxygenation (ECMO). The latter has attracted some recent attention, especially in regard

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Safety in Resus – Use the Whiteboard!

There’s no doubt that for the small rural emergency department, a critically unwell patient can quickly overwhelm available resources.  Like many small rural hospitals in Australia, there is one doctor on call for emergency presentations, with the ward-based nursing staff (two in out location) responsible for ward care, assessment of outpatient attendances as well as

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DAS 2015: Ditch the FastTrach?

It’s no secret that I am concerned with management of the difficult airway, especially as pertains to the rural/remote/austere context.  This may be either as a rural GP providing anaesthesia in the Operating Theatre, in the Emergency Department or at the roadside.  Whilst many of us learn and regularly upskill in anaesthesia via the comfortable environment of

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The Cutting Edge

I’ve just had the incredible good fortune to spend a few days between GP15 and PAIC2015 as a speaker and facilitator at RescueExperienceOz events in Victoria and Tasmania. The one day Rescue Experience workshops are provided free of charge around the world by Holmatro – the makers of rescue tools.  I don’t know anything about hydraulics

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