Nasal Fractures

A recent article in Emergency Medicine Australasia by a group of ENT clinicians looks at manipulation of nasal fractures under local anaesthetic in the emergency department. The authors have even created an online video tutorial to show you how to do it step by step.

Minor Burns in the Emergency Department

"Partial Thickness Burn"

26 female present to ED after spilling a hot sauce pan of soup onto her left forearm. The patient states that the soup has just been boiled when the accident occurred 20mins before arrival. You unwrapped the wet towel that is wrapped around the burn, and begin first aid by running it under cold water for 20mins.

Do as I Say (Not as I Do)

Doctor Smoking Camels 2

Times are changing, but in some cases not quickly enough. I reproduce a comment from my dear friend Francesca in evidence. Are doctors beyond reproach? Can we admonish patients for not playing by the rules…when we do not play by them ourselves?

Does fat float on blood?

Lipaemia L

Your first patient of the drizzly Thursday night shift is Matthew, a man in his 30s, lying on his side on a trolley. He winces as he rolls onto his back to face you, waving aside your apology for his 3hr 47min wait; he’s in obvious discomfort and very happy to see you.

Wilderness Medicine

Wilderness Medicine Julian Williams

The scope of wilderness medicine combines traditional medical specialities, particularly emergency medicine, sports medicine, military medicine and general practice, with pre-hospital care and rescue skills.

Funtabulously Frivolous Friday Five 019

Hard Working Women s

Feeling a bit wound-up…feeling a bit frazzled by Friday? Why not relax and unwind with some medical trivia…This week we celebrate Australia’s first female Prime Minister and the longest tennis match in history with an exploration of the first female physician, Le Fort fractures, the Kehoe principle and the vestigiality of the human appendix

CT Safety and Radiation Risk

Is a cancer epidemic be looming over the horizon? The universality of CT as the investigation du jour, and growing concerns about the risks of radiation.

Escaping bugs

A 13-year old female with pyelonephritis is being treated with ceftriaxone. Enterobacter cloacae is cultured. Got a problem with that?

Epistaxis

Epistaxis is a frequent complaint. 60% of the population will suffer from a nose bleed during their lifetime, and 6% will require medical attention. Outline of diagnosis and management in the emergency department setting.

Overcoming Multiple Sclerosis

OMS_003

Multiple Sclerosis (MS) can be a tragic disease which usually affects adults in the prime of their lives, and may even occur in childhood. Many authorities suggest there is little that people can do for themselves apart from taking medication and waiting until they deteriorate.