Tasty Morsels of EM 047 – Arthrocentesis

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. Reasons to tap a joint fluid for analysis infection crystals drain tense haemarthroses trauma heamophilia (only after factor replacement) evaluate communication with a wound instillation of analgesics (remember… [Continue Reading]

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Tasty Morsels of EM 046 – Reactive vs Gonococcal Arthritis

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. REACTIVE ARTHRITIS You probably used to know this as Reiter’s Syndrome (at least it was when I went to medical school) but it has gone the way of… [Continue Reading]

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Tasty Morsels of EM 045 – Parvovirus B19

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. Everyone knows the slapped cheek syndrome that runs in epidemics in kids. Hopefully you’ll be aware of the risk to pregant mothers with this infection. There are however other… [Continue Reading]

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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 […]

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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 […]

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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 […]

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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 […]