Irukandji Syndrome Territory-style

Darwin Harbour

You are working as a locum doctor in the Northern Territory. Your patient is a 32 year-old Indonesian man who says he was stung while hauling in a net on an offshore fishing vessel.

Jack Barnes and the Irukandji Enigma

carukia

In 1964, Jack Handyside Barnes, his nine year-old son, and a local surf lifesaver were rushed to Cairns Base Hospital after developing Irukandji syndrome.

Stung Inside A Stinger Net

It’s Christmas, and you’re called by a doctor who has recently arrived in Australia from the UK. He is in North Queensland looking after a 23 year-old female swimmer who doesn’t look at all well…

The Mark of the Beast

longboat_statue

He stood in the hallway having stolen away from his cubicle. The doctor leaving the resus bay recognised him as the man from cubicle 23 awaiting a psychiatric review. The doctor altered course so that their paths would intersect. The man’s eyes were a cold blue deeply set above a bedraggled beard. Scarred knuckles at [...]

Strychnine poisoning

Toxicological conundrum on the pharmacological effects of Strychnine toxicity

Ever tried smoking?

tobacco_enema

Perhaps hospitals were a little hasty in becoming “smoke-free” zones – next time I lead a code I might see if anyone volunteers to be the pipe operator for a good old-fashioned tobacco smoke enema… From Eisenberg, MS. Life in the balance: emergency medicine and the quest to reverse sudden death. 1997; Oxford University Press. [...]

If the lights go out…

improvsied_laryngoscope

… You could try this technique ( but hopefully you won’t need to anytime soon): If the light on the laryngoscope fails, clean the contact between the blade and the handle, and check that the bulb is screwed in place securely. If this fails, use your spare laryngoscope, which you should have instantly available. Or, [...]

Suboxone poisoning

sleeping_baby_gorilla

The phone rings as you sit down for lunch. You are asked for advice concerning a drowsy 2 year-old boy who was brought in to a Children’s Emergency Department by his worried parents.

You don't know about the stones?

rolling_stones_toilet

I really like the tropical tales (“parasites and people”) of the late Dr Robert S. Desowitz, who was Professor of Tropical Medicine at the University of Hawaii and worked with the World Health Organization. His writing often emphasized the role of human factors in the health problems of the world. Human behavior always contributes to [...]

Management of Snakebite

A 20 year-old male was walking in rural New South Wales (Australia!) when he noticed a brown-coloured snake. He was startled and stepped backwards onto a tree branch which snapped under his weight.