Work as an emergency fellow in Ireland

I posted on this last year but the department I work in as a few upcoming vacancies in July so I thought I would update things for those who might want to come work. Are you an emigrated Irish doc in training in Oz or NZ and fancy coming home for 6 months as part of… [Continue Reading]

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Magnesium for Migraine

Migraines are fun to treat. Not so fun for patients but at least we can fix most of them. It’s always nice to have another tool or two in the armamentarium for treating migraine. While hardly surprising given this noble element’s history, it turns out magnesium has been studied for migraine before with some equivocal results.… [Continue Reading]

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Take home points from an HMIMMS course

Before christmas I finally got another one of the alphabet courses under my belt – The Hospital Major Incident Medical Management & Support course. Or HMIMMS for short. To be perfectly frank major incidents weren’t exactly on my radar – I like to describe emergency medicine in Ireland as one long protracted major incident so there’s… [Continue Reading]

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Tasty Morsels of EM 044 – Thyrotoxicosis Factitia

As always, this is from the ever expanding google doc on bits and bobs I read and learn from and transfer here for all our learning pleasure. This was something I wasn’t even aware existed but worth considering. Classic symptoms of hyperthyroidism tachycardia usually sinus a fib common too sweating/feeling warm poor sleep weight loss possible… [Continue Reading]

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Location based decision making

This is something that I’ve noticed happening to me for as long as I’ve been doing emergency medicine (coming up on 10 years now) – that the physical part of the department that you see the patient in has a significant impact on my decision making process.  A patient with chest pain arrives in resus, the… [Continue Reading]

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Anatomy for Emergency Medicine 030: CFN Eye Anatomy Part 1

This is the first of a series of podcasts I’m doing on basic eye anatomy for the CEM FOAMed Network. This is a developing resource which aims to provide a fully mapped college curriculum with FOAMed resources. Be sure and check it out and get the podcast. This podcast went out a while ago on […]

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IAEM Position Paper on Trauma

Major trauma care in Ireland lags behind a lot of its western contemporaries (think UK, Aus/NZ and the US). We have 28 hospitals receiving major trauma (for a population of 4.5 million). We do not have a trauma system. We compare fairly poorly to our contemporaries who do have trauma systems. Not wanting to make […]

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Tasty Morsels of EM 043 – Vibrio

As always, this is from the ever expanding google doc on bits and bobs I read and learn from and transfer here for all our learning pleasure. At risk of this becoming an “Andy reviews EM:RAP” section here’s another one from the Dec 2014 program, again from the bounce back section. And once again it’s […]

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Tasty Morsels of EM 042 – MucorMycosis

As always, this is from the ever expanding google doc on bits and bobs I read and learn from and transfer here for all our learning pleasure. This time it’s the somewhat obscure MucorMycosis. This is of course from the just released Dec 2014 EMRAP [paid access but worth it] and I’m sure lots of […]

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Medical Complications of Pregnancy

This is a talk I gave recently for our registrar teaching morning. Not the sexiest presentation (forgive the bullets) but hopefully will give you the basic, textbook level info a al foamcast style   Direct Download [60mb] References: NICE Guidelines SIGN Guidelines [pdf] Rosen’s 8th Chapter 178 Kline Systematic Review on VTE in pregnancy ESC Working […]