Trauma Tribulation 001

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18 year old man day 7 in ICU after jumping from a building. Tracheostomy performed the day before. Acute respiratory distress with inability to pass a suction catheter through the tracheostomy tube.

Roast duck and juniper beer

ruptured oesophagus

Consider a 73 year old female admitted with vomiting and subsequent chest pain. This is her admission chest X-ray.

Is Social Media the Rock’n'Roll of HealthCare?

Social (digital) Media is expanding at an unerring rate, penetrating each and every darkened interstice with shafts of sharing light and goodwill….At least that’s how it seems.

Look on the Bright Side

cymothoa

Having a toothpick fish (the Candiru) take a detour up your urethra doesn’t really bear thinking about. The idea of maggots crawling around under your skin sickens you. It is true, humans are afflicted by some pretty nasty parasites. At we can least be thankful for bacon.
But things could be much, much worse.

Learning CPR with your iphone

I don’t own shares in the makers of this product, nor can I verify its effectiveness. However, just the idea of being able to used your iphone as a CPR coach is mind-boggling.

Fellows of the UCEM embrace WHORe model

WHORe Abstract

It may be idealistic, but the UCEM firmly believes that in the future the management of emergency patients should be outsourced and entirely orchestrated from offshore. Hands-off-medicine, teleconferencing, the iPhone and video assisted robotic technology (VART) will assist in the management of critically ill patients within the waiting room.

Action at a Distance

Wand_001

“Action at a distance” is a phrase synonymous with flight-deck control physicians practicing the hands-free model of patient examination and management. Whilst cruising the interweb for evidential examples of such medical practitioners, I was lucky enough to happen upon an evolutionary tool – the Kymera Magic WAND

Meningococcal menigitis

csf

Consider a 21 year-old presenting to the emergency department with fevers and agitation.

His lumbar puncture results are shown below:

What On Earth’s Wrong With Placebos ?

I’m a big fan of TED and strongly suggest you subscribe to their video podcasts if you don’t already. Rory Sutherland is an advertising whizz. He argues that adding intangible or perceived value to things we already have is perhaps no bad thing and perhaps may be the only alternative to a world of unsustainable consumerism.

Letting Go

A few experiences in the last week or two have reminded me of the importance of Peter Safar’s Laws for the Navigation of Life: Law 20. Death is not the enemy but occasionally needs help with timing. Sometimes some of us seem to forget that for all of us the time will come one day. [...]