Author name: Tim Leeuwenburg

Rural doctor living on Kangaroo Island with interested in emergency medicine, anaesthesia and trauma. Currently a senior specialist (retrieval) with the Central Australian Retrieval Service, Chair of www.SandpiperAustralia.org and Ass/Prof Aeromedical Retrieval

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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Big Syringe, Little Syringe

Safety is paramount in anaesthesia, wherever it is being performed (in theatre, in ED or at the roadside). Many of the non-anaesthetists joke about the apparent simplicity of induction agents in an RSI, without appreciating the nuances. RSI is easy! inject the big syringe first – induction then the little syringe – paralysis By far the

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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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Emoji in Medicine

Doctors are getting younger – at least that’s what it seems to old dinosaurs like me.  On my occasional forays into the Hospital system, it’s not uncommon to receive messages from junior colleagues via text…and I’ve even seen textspeak slip into some of my student’s written clerkings. Which makes me wonder – has anyone seen

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