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Author Archives: Andy Neill

Pulmonary embolism as a largely meaningless diagnosis

18 May

[If you want to hear the best thing I’ve heard on this yet then listen to the SMART EM podcast] Perhaps I overstate things in the title, but I’m getting a little bit jaded with all things VTE these days. … Read More »

thinking about medicine PE 8 Comments

Scapular manipulation for shoulder reductions

18 May

I was back up north doing a locum shift in my old stomping ground last week and had an opportunity to try out a new technique for shoulder reduction. Shoulders are a lot of fun. They tend to be young … Read More »

FOAM shoulder reduction 5 Comments

Diuretic Strategies in Patients with Acute Decompensated Heart Failure N Engl J Med 2011;364:797-805.

2 Apr

[Previously posted over here] This paper should be kind of a big deal I think. We treat a lot of heart failure, and we don’t really know how to treat it. We give lots of drugs to make you pee, … Read More »

critical appraisal diuretics, heart failure Leave a comment

Urine Test Strips to Exclude Cerebral Spinal Fluid Blood West J Emerg Med. 2011;12(1):63-66

1 Apr

[Previously posted over here] When I did my elective in South Africa we used to diagnose TB in the casualty dept. by sticking a cannula in the pleural effusion, sucking out some fluid, diluting it 1:9 with tap water and … Read More »

critical appraisal CSF analysis, SAH 1 Comment

Risk score to stratify children with suspected serious bacterial infection: observational cohort study Arch Dis Child 2011;96:361–367

29 Mar

[Previously posted over here] What these guys looked at is a real challenge. How do i tell if the kid in front of me has just “the snuffles” or is in the early hours of something terrifying like a pneumococcal sepsis? They … Read More »

critical appraisal Leave a comment

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