Past teaching sessions and blog posts

EDCentral has grown and grown over the past few years and so has the level of academic engagement at Bendigo ED. Meanwhile, in the online world, the FOAM community (Free Open Access Meducation in case you missed it) has grown massively too. 

We've decided to extend the reach of EDCentral into the FOAM world with the launch of 

This will be the new blog page of EDCentral. What started as a post we could put up the powerpoint slides of the week's teaching for people who missed the session has morphed over time and is gradually becoming more of a medical education blog. If we can keep up the momentum the new blog will be one more voice in the FOAM community. 

A new and exciting innovation will be the abilty to comment on the posts. Please be mindful that your comments can be read by the ENTIRE world. If you wouldn't say it in a lift (or a supermarket queue) don't put it on a comment. But please do comment on the posts. It will be the engagement from you guys that will really make it worthwhile. 

Keep an eye out on for some new posts coming soon. 

Earlier this year Ben McKenzie gave the Bendigo Health Grand Round on thrombolysis in stroke and it was a doozy. Here is his slideset from the talk. Or most of it. This is a pretty impassioning topic and there were a few slides that some people on the pro-tPA side of the debate were bothered enough by to ask him not to post which I find fascinating having been at the talk and seen the full slideset. That possibly says as much about the topic as the missing slides themselves.

Meanwhile, in exciting news from ACEP2013, membership voted 3:1 in favour of changing the position statement on tPA in stroke. There is no doubt that the current ACEP position statement has made it very hard for people who are bothered by the poor evidence for tPA in stroke to speak out without sounding like outliers or luddites.  

Here are links to the original articles related to the presentation:  IST 3, NINDS, Truth about the NINDS study: setting the record straight, A graphical reannalysis of the NINDS trial, ECASS III is just a New Spin On a Bad IdeaBelieving is seeing: Stroke thrombolysis remains unproven after IST 3, How is more negative evidence being used to support claims of benefit: The curious case of IST 3.

I have updated the links page today to give a better overview of what I am currently learning stuff from on the web. Let me know if there is something else that should be on there.

In preparation for a sim session on traumatic cardiac arrest reception this week, read the following post after the jump and watch the little video. 

This article from BMJ way back in 1994 is a wonderful illustration of the role of random chance when attempting to demonstrate cause and effect (i.e. trying to prove that a teatment works for example) and the way in which the meta-analysis can amplify rather than diminish error introduced by random chance. Thanks to Brendan Whiting for digging up this one.