Toxoplasmosis and Free Will

Maybe I was a bit too quick when I suggested we could ‘look on the bright side’ when it came to thinking about the nasty parasites that manipulate us humans.

Waiting Room Gynaecology

Waiting Room Gynaecology from Korea

As part of the ongoing review into Waiting Room design, the Council Executive of the UCEM would like to thank fondling members for the myriad of practical suggestions presented during the recent ‘Waiting Treatment Forum‘. One of the leading presentations at the WTF summit came from the Korean Chapter of the UCEM. Following 6 months [...]

Pneumonia gone bad

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Consider a 56 year old male with no past medical history presenting with 10 days of fevers, chills, myalgias and cough followed by worsening breathlessness over the past 4 days.

Entrapped

You are handed over a patient by a colleague (that’s a ‘handoff’ to you Yanks)… He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.

Days Beyond Superlative

Hamish drumming with Mick Fleetwood

Some days are special. Some days are amazing…and some days are so amazing they go beyond superlative; destiny changing days to be forever ingrained in ones mind. Saturday was one of these days.

Exercise-associated Hyponatremia

EAH_Exercise-associated Hyponatremia

A 30 year-old female was BIBA to the ED following a seizure. She was running a marathon in hot weather. Nearing the end, after 5 hours running, she was seen fall to the ground and had a generalised tonic clonic seizure.

We Feel The Pressure

Sometimes frustration can set in whilst working in Emergency Departments overwhelmed with patients and with monthly 3% efficiency cuts. Thankfully I work in an environment where the staff are thick-skinned, resourceful and resilient. They utilise many emotional defense strategies ranging from writing satire (UCEM) through to drinking heavily and singing satire.

Funny Bone #001

Five surgeons are discussing who were the best patients to operate on. The first surgeon says, ‘I like to see Accountants on my operating table because when you open them up, everything inside is numbered.’ The second responds, ‘Yeah, but you should try Electricians! Everything inside them is colour-coded.’ The third surgeon says, ‘No, I [...]

Down with the Afterload!

AlicebyRobinson2

If you are new to intensiveland and find yourself bamboozled by all the numbers, indices and machines that go ping. There is only one reference you need turn to… Titled “Alice in intensiveland. Being an essay on nonsense and common sense in the ICU, after the manner of Lewis Carroll.”

Sudden onset blue leg

You are managing a 56 year old woman with severe pneumonia in the Intensive Care Unit when you are called to see her because her leg has suddenly turned blue