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Tasty Morsels of EM 063 – Traumatic Aortic Injury

11 Jan

Stimulated by a post over at Echo Praxis and a corrective tweet from Karim Brohi This is a blunt traumatic aortic injury leading to pseudoaneurysm. It's NOT a dissection. https://t.co/FbMZ3tYkMI — Karim Brohi (@karimbrohi) December 18, 2015 I think I … Read More »

tasty morsels aorta, tasty morsel, trauma 1 Comment

Tasty Morsels of EM 062- European Hyponatraemia Guidelines

4 Jan

Before you all die of boredom it turns out that sodium is really important. it’s something we also seem to get very confused by. The wonderful Josh Farkas had a post on low Na (mainly about using Bicarb as treatment) with … Read More »

tasty morsels hyponatraemia, tasty morsel 2 Comments

Tasty Morsels of EM 061- Pseudo Sub Arachnoid

7 Dec

This is a nifty little diagnosis and something that you’ll see with some regularity. In the context of sudden unexplained cardiac arrest with ROSC but no neurological response we often get a CT of the head looking for some intracranial … Read More »

tasty morsels radiology, SAH Leave a comment

Non inferiority trials

30 Nov

There’s been a recent rash of ‘non inferiority’ trials in the medical literature. The new oral anticoagulants are a great example. It’s hard to blame investigators. Proving that Drug B is better than Dug A is a very difficult thing … Read More »

board review, critical appraisal CFN, critical appraisal, FCEM, frcem, non inferiority 1 Comment

Tasty Morsels of EM 060 – Urostomies and acid base

27 Nov

A chap with a 6 month old ileal conduit for urinary diversion rocks up to your ED feeling more than a little unwell. A VBG done at triage is like this: What’s the deal? The reference Tanrikut C, McDougal WS. … Read More »

tasty morsels acid base, tasty morsel, urinary diversion Leave a comment

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