Past teaching sessions and blog posts

Ben McKenzie went up to Swan Hill to have a discussion about pain relief in the ED.  It was an excellent opportunity to talk about acute pain but also have an extended meeting to talk about tid bits arising about more general emergency medicine topics from subarrachnoid haemorrhage to burns dressings.

Click Here to download the presentation

Click here for the NHMRC acute pain manual for emergency departments in Australia - Easy to read, engaging and practical!!! - It is an excellent resource!

A comprehensive approach to the liver disease patient in the ED by Bendigo ED Registrar Dr Alex Archer

download the presentation here

Risk Stratification in the Real World

Anne-Maree Kelly from Western Health in Melbourne has examined over 700 patients with potentially cardiac chest pain in this paper published in the June issue of Emergency Medicine Australasia. Although the author's main conclusion appears to be that the NHF guidelines are somewhat of a failure in the real world, I think the study goes a long way to clear a lot of the fog around the issue of risk stratifying a chest pain patient.

Click read more to read my take on this article and on the business of ED chest pain assessment.

A couple of weeks back Dr Hamed Akhlagi, Advanced Trainee in EM, presented a talk on local anaesthetics with a focus on pharmacology and toxicology. Click here for the pdf of the powerpoint presentation.

Just in case you wondered why you were tired at the end of 10 hours.

A paper by Rongsheng Kee and Johnathon Knott at the Royal Melbourne Hospital in the June issue of Emergency Medicine Australasia (EMA (2012) 24, 294-302) has described the workload of an Australian Emergency Physician. Table 1 is worth showing your partner so they can understand why you are less than talkative when they ring you at work. In case you don't have access, the gist is this. 

As a duty consultant (in charge role) in every hour of the shift you will do the following:

Have 13 conversations with other doctors and the same with nurses, make or take 4 phone calls, talk to a patient's family and have around 6 conversations with other staff including police, ambos, clerical staff and students; 

Walk 19 times between the different spots that you work in;

Review 5 patients, look at 6 files, use the EDIS system 10 times, use path and xray computer systems a couple of times each, look up some sort of medical reference perhaps once and make 6 medical record entries;

You will also occasionally write a sick note or prescription or discharge letter;

Once every few hours you will snack while working, and you'll have a drink on the floor about once an hour (scotch?); you will go to the bathroom once every 10 hours, go for a meal once in 10 hours and on one other occasion in that time-frame you will sneak away for an "unspecified" purpose (quick dose of ECT from the broken defib machine in the storeroom?);

It is not all bad news though. You will spend 24 seconds an hour on average in "quiet contemplation". I am comforted by that.