Past teaching sessions and blog posts
ST Elevation in aVR - Dr Kiran Veera
This was a fantastic presentation from Dr Kiran Veera about how not to ignore the voice of something in your head saying you learnt something once and its telling you to be careful. Also another example of Emergency Medicine being the acute medicine specialists.... Learn about STE in aVR. Do you thrombolyse them (we say no because we understood the pathophysiology). Do you give them clopidogrel? (no...)
Click here for the presentation
Guidelines, DKA and Cerebral Oedema
Click here for a dive into the DKA cerebral oedema literature and why delayed insulin therapy has been included in guidelines. And what is the good of guidelines anyway?
Here is a link to the full text relevant article by Edge et al.
A couple of other links to articles below.
- Edge JA, Jakes RW, Roy Y, et al. The UK case-control study of cerebral oedema complicating diabetic ketoacidosis in children. Diabetologia. 2006;49:2002-2009.
- Hom J, Sinert R. Is fluid therapy associated with cerebral edema in children with diabetic ketoacidosis? Annals of Emergency Medicine 2008 52:1 69-75.
- Lawrence SE, Cummings EA, Gaboury I, et al. Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis. J Pediatr. 2005;146:688-692.
- Glaser N, Barnett P, McClaslin I, et al. Risk factors for cerebral edema in children with diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics. N Engl J Med. 2001;344:264-269.
- Duck SC, Wyatt DT. Factors associated with brain herniation in the treatment of diabetic ketoacidosis. J Pediatr 1988;113:10-4.
- Rosenbloom A. Intracerebral crises during treatment of diabetic ketoacidosis. Diabetes Care 1990;13:22-33.
- White PC, Dickson BA. Low morbidity and mortality in children with diabetic ketoacidosis treated with isotonic fluids. J Paediatrics 2013 163(3): 761-6
Beraking bad news in the ED
Hand injuries in the ED
Mr Broughton Snell has established his plastic surgery practice in Bendigo and is operating at Bendigo Health as well as SJOG.
He gave a very well received presentation on hand injuries and his presentation can be downloaded here or the original file size version from his website www.sandhurstplasticsurgery.com.au