Death by Black Hole

As an emergency doctor it is important to be aware of all the myriad ways of meeting one’s maker. ‘Death by Black Hole’ – a process that results in ‘spaghettification’ – is one of the more exotic ways of dying that until now I hadn’t considered in any great detail… Neil DeGrasse Tyson explains it [...]

Tricyclic antidepressant toxicity

Sodium channel activation states

A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 7 x 500mg amitriptyline. He is tachycardic (HR 120) with an otherwise ‘normal’ ECG (QRS 95 ms) but is becoming drowsy.

Top 10 Foreign Bodies

Feeling Thirsty?

Top 10 list of favorite ingested or inserted foreign bodies. Ingested or inserted foreign bodies are often best delineated with X-ray

All-Time Worst Non-Emergencies

A collection of our favourite ED ‘non-emergencies’ from the blog authors.
Please feel free to add your own.

A Change in Condition

St. Augustine Medical Ward, St. Francis Hospital (Photo by Paul Young)

It is easy to forget the growing pains of the student-to-doctor metamorphosis. For me, the once vague notion of becoming a doctor was made real when I traveled to Zambia to work on the wards of St. Francis Hospital (SFH) in Katete…

The Other ‘SEPSIS’

A 41 year old Italian lady had presented with abdominal pain. ‘Dolore’ she screamed anytime I even got close to palpating her belly. She’d been in Australia 10 years but didn’t speak a word of English – I’d obtained the history from her husband.

Radiological oddity #015

ECMO_bad_lungs3

A 32 year-old male with no previous medical problems, other than a history of smoking cigarettes, was infected by swine-origin influenza virus (SOIV) and developed severe ‘FLAAARDS’ (‘flu’-A associated acute respiratory distress syndrome) requiring treatment with ECMO (extra-corporeal membrane oxygenation). His chest and abdominal radiographs are shown. Q1. Describe the findings on the chest and [...]

The Candiru

Apparently the worst thing that can happen to a parasite is to end up inside the wrong host…

Saved by Electroconvulsive Therapy

Psychiatric illnesses remain among the most mysterious maladies that doctors encounter. This enthralling TED talk by inspiring medical historian and surgeon Sherwin Nuland gives a detailed account of one man’s illness.

Phonetic alphabet

Probably the two most potentially useful skills I learnt in the army were ironing (a skill I try to avoid putting to use at any cost) and knowledge of the phonetic alphabet.