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And that can, you know, I guess, make the child more worried. So keeping the parent as well as the child calm is really important. And I mean, I'd be really interested in your experiences, actually, Danielle, but in terms of keeping a parent calm, often just projecting a sense of confidence that, you know, even if this... |
One of the things I've noticed over the years I've been practicing is that dexamethasone dosing in croup is a really frequently updated dose, I guess. You know, we used to start it, we used to talk about 0.6 milligrams per kilogram orally, and now it was down to 0.3 and 0.15. So, you know, particularly if you're out pr... |
Okay welcome to On The Wards, it's Dr James Edwards and today we're talking about a very challenging topic of the assessment and management of suicide risk. And we have Dr. Joanne Ferguson back with us today. Welcome. Thank you very much. So Dr. Ferguson is a star-spatial psychiatrist in addiction medicine and works wi... |
Was your particular approach to management, I I guess escalating for help or to psychiatry care? I think the reason that you'd escalate a referral like this is that if you had any concerns that this was more than just a passing thought. So the question is really about how quickly do you escalate? So is this something t... |
Welcome to On The Wards, it's James Edwards and today we're talking about Toxicology with Dr. Zef Koutajanis. This podcast is produced in collaboration with Therapeutic Guidelines, publisher of ETG Complete, proudly supporting On The Wards. Welcome, Zef. Hi, James. How are you going? Well, Zef is an emergency physician... |
It's something else that's been sold as MDMA and that's why you get the runs like this. And the media love it because it gets a lot of media attention. So when they arrive in the emergency department, can you just describe what kind of assessment we should provide and what are the key important things to look for? Yeah... |
So every hospital should have their own sort of guideline of how to use pharmacological management to control people's behavioural disturbance. And it's usually a combination of benzodiazepines and dopamine antagonists. Look, thank you, Zep, for a favourite podcast host. We are always interested in your feedback. So if... |
Welcome to On The Wards, it's James Edwards and today I'm talking about combat medicine and blood preservation with Brigadier Michael Reid. Welcome, Michael. Thanks very much. Michael's biography would literally take me 15 minutes to read. He's an anaesthetist, an intensivist. He's the Australian Defence Force Professo... |
So I'd probably find two or three people and get a bit of a group average about the opportunities that might be available. And they'll tell you the truth. They've got no vested interest in telling you anything other than the truth. Maybe we'll go on to combat medicine. I mean, what is combat medicine? I think combat me... |
And we're going to, in that way, work out where we'll put these platelets, if indeed they work, which of course we don't know yet. Obviously you've got a very strong research background. One of your ambitions is to establish the ADF as a major contributor to military trauma research. Tell us about this. Yeah, look, I t... |
Welcome to On The Woolwoods. It's James Edwards and today we're talking about rhombocytopenia, which is a low platelet. And we have one of our favourite podcast presenters and that's Shafqar Inam, who's a haematology registrar at Royal Prince Alfred and Concord Hospital. Welcome back. It's good to be back, James. So we... |
Other tests we might progress to might be something like a bone marrow barb, see if we're worried about underlying haematological causes. And if you do identify platelet count as such as 40 in this patient, how often do you need to monitor that platelet count while they're in hospital? So generally, a patient like this... |
Okay, so you think this patient has hits. What's your initial management? So hits, although on the surface of it might seem not so serious, can actually be life-threatening. And the first step is really recognition, because often it is quite a rare diagnosis and doctors may never have seen a case. The first step is to ... |
Welcome everybody to On The Wards. It's James Edwards and I have the pleasure today of welcoming Dr. Dane Chalkley. Thank you very much. Dane is an emergency physician who has worked within the UK and Australia and is a current ED physician here at Royal Prince Alfred Hospital. He's also a good mate of mine and this id... |
Yeah, and as we know, the initial diagnosis that's made in the emergency department in the vast majority of patients sticks even for quite a while even if it's not the right diagnosis because once all the the front loaded treatment and investigation has been done things do get slow on the walls by due to resource manag... |
Absolutely. And when you get it back, they say, thank you very much. And we've washed it. Yes. And you smile. And that's great. Although you lose several hundred dollars in the process. Okay, any last thoughts, Dane? No, just that as you introduced this sort of topic that none of this is said, none of the things that w... |
Welcome to On The Wards, it's Abhi Pal. Today we're talking about research and medicine with Dr. Eli Matar. This podcast is produced in collaboration with Avant, a proud partner of Underwards. Welcome Eli. Thanks Ali. Just to introduce you, Eli is a neurology advanced trainee and a NHMRC postgraduate scholar based in S... |
What did you personally find was most difficult or challenging? And what do you think other doctors might find is difficult about research as well? Definitely. Look, research is very tricky and it's very different to medicine. I think the thing that you need to realize is that the time scales of reward are very differe... |
So I think that there are some general things and specific things that I would look out for. General things are that you get along well with your supervisor, that they have time for you, that you look up to them in some respect. You know, not all mentors are perfect, but certainly that there are aspects of the way they... |
They're really two uncompromising careers, medicine and research. I don't think either of them give any leeway. So you're managing. Absolutely. And, you know, the other reason, you know, I didn't mention this earlier, is that, you know, the other thing about medicine is that you go home and, you know, you usually don't... |
Welcome to On The Wallwards, it's James Edwards, I'm here again and today we're going to be talking about gentamic prescribing with Kate Cleasy from Prince of Wales Hospital. Kate's an infectious disease physician at Prince of Wales. And I think before we get started into gentamicin prescribing, I just wanted to plug t... |
And there are other circumstances where you use that synergistic effect, such as endocarditis? Yes, it's used with some streptococcal endocarditis and enterococcal endocarditis. There's clear evidence of synergy between those two drugs, even though gentamicin doesn't have a huge amount of activity on its own in either ... |
Welcome to On The Wards, it's James Edwards and today we're talking about gastrostomy feeding tubes and I have the pleasure of inviting Dr An Anastasia Volovets who's a consultant gastroenterologist and hepatologist to speak to us today. Welcome Anastasia. Thanks James, it's really nice to be back here again. Yes, we h... |
So the stomach is in a bit of a strange position. And then eventually, with all the inflammation around the side, then internal adhesions form. And so then what happens is that anterior wall of the stomach becomes stuck to the anterior abdominal wall and kept tightly there by adhesions. And so that's what we call the g... |
I mean you've really brought into some of I guess the ethical considerations about long-term enteral feeding. Obviously severe dementia is one. Any other pretty ethical issues that you've noticed come up in your practice? Yeah, look, probably patients with advanced neurological conditions such as really severe Parkinso... |
If the tube is not used properly by patients in that you know they try to put actual food down it, puree food or you know shakes rather than commercially available feeds or if they don't use the right medications then the tube can become blocked and if that's the case then patients need to try and have that tube either... |
Welcome to On The Wards. It's Chris Elliott here and today we're talking about the unsettled infant with Dr. Carly Casamento. Welcome Carly. Thanks Chris. Dr. Casamento is an advanced trainee in general paediatric space out of Sydney Children's Hospital, Randwick. She is passionate about anything to do with the health ... |
Babies can get things called hair tourniquets, which is where a strand of hair gets wrapped around their finger. And it cuts off the blood supply. And it cuts off the blood supply, yeah, and can cause pain. And they're so little, we often don't look. Other red flags to watch out for would be a bulging fontanelle or a l... |
Okay, welcome everyone to On The Wards, it's James Edwards and it's March 2015. We've had a couple of questions on our website in regard to downloading the podcast. Just a reminder, you can download the podcast on iTunes, which may make it easier to access when you're at work and it is sometimes difficult to get intern... |
Either there isn't medical consensus or it's genuinely not clear. This is someone who does have bad COPD, but it's not clear that they're end stage. And in that case, it might be appropriate to get into a discussion with the patient about what their goals of care are. And this can be really tricky because the last thin... |
The question of should I ring the family? Increasingly, I just say yes. And the only thing I can say to that is that no one ever regrets being there. People regret not being there. You can tell the family that in most cases, dying is a process that occurs over time and it's rarely a sudden event, but obviously anything... |
They're always available for advice. And also there are physiotherapists and chaplains and social workers who all have expertise in palliative care who might be able to answer specific questions. A final question, the patient's wife asks you is there anything you can do to speed up the dying process to when the patient... |
Hello, my name is Ben Nguyen and I'm one of the Respiratory Advanced Trainees. I'm here with Mikey Shear, who is our basic physician trainee who was working on the COVID team last week. Today we'll be talking to Mikey about his experience as the COVID registrar to hopefully give everyone a better understanding of what'... |
We ask our patients, do they feel symptomatically improved or worse? Some of the other things we sort of monitor include the things that we've already discussed, so looking out for lymphopenia, looking out for changes in their LFTs and sort of monitoring the D-dimer and LDH. And last but not least, Mikey, can you tell ... |
Okay, welcome everyone to our first podcast for 2014. We're doing a podcast on fever and we've invited Andy Lee, an infectious disease physician from RPA. Welcome Andy. Thanks James. So this is a common after-hour scenario that our junior docs will face. We'll start with a scenario. You're asked to see a patient with f... |
In the first couple of days postoperatively, it's not unusual to get a fever. Often that might be related to some tissue breakdown, but it can also be related to what some people term as atelectasis. So you can get some collapse in the basal segments of the lung related to, say, having the anaesthetic or splinting of t... |
Often this group have a lot of diarrhoea as a result of their chemotherapy so a gastrointestinal focus is possible. They often have lines in so lines, particularly central lines, can become infected in this group and they're also at risk of respiratory pathogens, not only bacterial but fungal as well. So you do the cli... |
Welcome to On The Wards. It's James Edwards and today we talk about anaphylaxis and we're actually welcoming back Associate Professor Roger Garcia who's an immunologist at RPA and I think many of you remember one of our first ever podcast was on anaphylaxis and Roger spoke then so welcome Roger. Thanks it's lovely to b... |
So steroids are generally viewed as not the necessary component of the emergency treatment. They are too slow in reducing the edema that might be occurring on the larynx or the pharynx. The adrenaline is the the way to get rapid control of that edema and that's what's providing the airways risk and steroids are not nee... |
Yeah, so I mean, how can we avoid anaphylaxis in the hospital? What are the key measures? Yeah, so I think, look, I think the key things are, it's really the whole quality cycle of what we do in hospitals. So we have to be really accurate about what we record and be very clear and unambiguous about the descriptions of ... |
That is the anaphylaxis picture wherein also you have a lot of edema of an organ and it has a component of angioedema within it. Now that is different from the situations where people are getting complement mediated angioedema which may particularly affect the lip and they may look absolutely ghastly with respect to fa... |
Welcome to On The Boards, it's James Edwards and today we're talking about diabetes. We're speaking with one of our regular contributors, Dr Barbara Depczyinski, who's a Senior Staff Specialist in Endocrinology at Prince of Wales Hospital. Welcome, Barbara. Thank you. Now, we have discussed in different podcasts manage... |
He probably just manages blood glucose levels every six hours pre-operatively. Yes, I'd check him hourly to two hourly intra and in the recovery ward and then fourth hourly until he's eating and then back to QID testing. And when would you recommence oral hypoglycemics? So he would have had his metformin withheld the n... |
Welcome to On The Wards, it's James Edwards and today I'm joined by Professor Ian Katerson. Hi Ian. Hi James. Ian's an endocrinologist and has been an agronomist for Raw Pins Alpha since 1982 and we've been speaking to Ian this morning about a number of topics but now we're on to thyroid disease. I think thyroid functi... |
Glad that she's here getting something done. So managing not only the patient but the family as well. They can't sit still and they get very anxious. What are the next investigations? So the standard investigations, thinking thyroid disease, in this case would be thyroid function tests. Now, it is said that you should ... |
Welcome to On The Wards, it's James Edwards. Today we're talking about research and in particular how GMOs and why GMOs should get involved in research. And I think also a bit about why it's so important that clinicians and scientists work together. And to have this podcast and speak to Dr. Caroline Ford. Welcome, Caro... |
Well, it's rarely a dead end. I mean, I think everything usually means something, right? So it's just about you taking stock and thinking, okay, well, that's not what we were hypothesising and maybe that doesn't fit with what I'd read in the literature but now I'm going to think about that more and I think that's also ... |
We're always interested in your feedback so if you enjoyed listening to this week's podcast feel free to let us know what you think by posting your comments or suggestions in the comments box at the bottom of the podcast page. |
Welcome to On The Wards, it's Jules Wilcox here and today we are talking about medical leadership with Professor Kirsty Forrest and Associate Professor Jo Bishop. Kirsty Forrest is the Dean of Medicine at Bond University. She's an accomplished medical education leader, teacher, researcher and clinician with proven stre... |
Oh, I think medicine in general is a bit too insulated and doesn't look outside to other disciplines a lot to learn things. And we're good at doing that, unfortunately. Even in medical education, we don't have to reinvent wheels. People have been through processes before. The skills and the processes that potentially t... |
And then it was vision to keep going. This is what we need to do. So our end site was always to get our students graduated, you know, to get them competent. So depending on the task in hand. So to have that vision. And even when there's the naysayers or people that can't be done or there's this, there's that, the visio... |
I think it's really important to have people who are there for your personal life you know that you can share things and be vulnerable with and discuss they're also the ones who will always be there I want you to succeed and this is how I can do that and so there's definitely some rich discussion around whether mentors... |
Welcome to On The Wards, it's Jules Wilcox here. This podcast was created in conjunction with our sponsor Global Medics, your career solutions recruitment specialist in permanent and local medical jobs across New Zealand and Australia, United Kingdom and Ireland. Today we're speaking with Dr. Hinemoa Elder, a leading N... |
And what does that mean to you? Yeah, I think there's a problem, isn't there, with words like well-being that are used so much that they seem to lose a sense of meaning and almost are just a kind of a tick box. And that's a shame. So I think that we often present the idea of well-being as something that our doctors, I ... |
So important. And, you know, unfortunately you also have toxic role modelling. You know, you say you have groups and we get through in groups. You know, if you want to belong to a certain group, there's this sort of explanation, you have to play the game and therefore you start to behave like maybe some other people in... |
And of course, they don't just come back around and bite you harder. And doing these exercises, so visualization, exactly as you described, you feel that feeling and that emotion and whatever, wherever it is in the chest and you visualize it, leaving your body through some part of that and really putting it somewhere, ... |
Welcome to On The Wards, it's James Edwards and today I have the pleasure of interviewing Dr Angie Pinto. Welcome Angie. Thanks James. Angie is a staff specialist in infectious disease and microbiology here at Royal Prince Alfred Hospital. Today we're going to talk about penicillins and I think every junior doctor has ... |
So can you give an example of a normal 80 kilo, 50-yard mile with cellulitis? what antibiotics you would prescribe for them and the duration of therapy? So a dose something like one gram QID would be a reasonable start and then the duration, if they were severe enough to come into hospital, it would start with intraven... |
Welcome to On The Wards, it's James Edwards and today I'm talking with Dr. Jo Dargan, a Urology Registrar here at Royal Prince Edward Hospital on Urinaryinary retention. Welcome Jo. Thank you, thanks for having me. We're going to go through a few cases because urinary retention is a fairly common clinical problem that ... |
So what's a normal post-residual void volume? So for a healthy young person, you'd expect less than 30 mils as a post-void residual. Obviously, the inpatient population is not quite so fit and well usually. And what you accept as an abnormally high post-void residual really depends on the patient's baseline status and ... |
Are there other things you consider in someone at this age? I think there's always a risk, even if someone's had a TURP before, that they could have developed prostate cancer, and that can present as urinary obstruction. So once you have managed the acute retention episode, renal failure, and risk of post-obstructive d... |
Welcome to On The Wards, it's James Edwards and today we're talking about blood sugar management but this time it's part two. We've already gone with part one of speaking to Associate Professor Glenis Ross on the management of hyperglycemia in the wards and there was a lot of pearls, a lot of fantastic information that... |
It's terrible on the veins. Not one not one when you want to put on your 22 gauge vein and it's been a decent cannula and a move maybe towards a bit more 10% dextrose. So I mean obviously the issue with 5% dextrose is you've got to put quite a bit of volume in. 10% is easier but it may not be as immediately available s... |
We've got Belinda Gray, one of our advanced catalytic training. We've trained her as a junior doctor before coming back and doing her catalytic training. And again, this will be, we'll start off with a scenario. You're the junior doctor on the ward. You get a call from the nursing staff about a patient who lost conscio... |
But also seen in elderly patients who get dehydrated, they have quite thick septums, left ventricular septums, if they've had hypertension over the years. And if they get dehydrated for whatever reason, then they can actually develop a transient gradient over their left ventricular outflow tract which can lead to synco... |
Welcome to everyone from On The Wards. Today we're going to talk about post-operative neck swelling and I'd like to welcome Dr. James Wikes. Thanks very much for having me. James is the current Sydney Head Neck Cancer Institute Fellow based at Royal Prince Alfred Hospital and Lifehouse. He's got surgical training and t... |
Are things like steroids and nebulised adrenaline, do they have any role or it's really just something mechanical that needs to be either released or um i think i think steroids and nebulized adrenaline are a probably shifting the deck chairs on the titanic if someone really has an airway problem and and be a decision ... |
So it is a serious condition. So I think if you were concerned on clinical grounds that they were hypocalcemic and it fitted because they'd had a total thyroidectomy and no one had done any bloods for whatever reason, something that's very safe that you could do that could help you feel comfortable in that situation wo... |
Welcome to On The Wards, it's James Edwards and today we're going to talk about Trachostomies. Welcome John Gatwood. Hi James, thanks for having me. John's a dual trained anaesthetist and intensivist from the UK but now working as a full-time intensive care specialist at Rural North Shore. He loves medical education, e... |
So I think all over the hospital, this is an interprofessional approach. These are complex patients, they have complex needs, and there's no doubt that you need some knowledge to deal with trache patients adequately. So we need experienced doctors and nurses, but physios and speech pathologists are absolutely essential... |
If the patient is really struggling, you're going to want to try and deliver some oxygen through the tracheostomy tube. And you can do this by attaching a bag valve circuit. There is a danger here though, and this is where we need to be very careful. I have in my junior years, which is one of the reasons I'm very inter... |
So the vast majority of the patients we deal with are tracheostomy patients, not laryngectomy patients. And so they've got an upper airway, which may well be patient and easy to manage, and also they've got their tracheostomy airway. So your best bet is to call for help quickly and then get somebody to cover the stoma ... |
Welcome to On The Wards. It's James Edwards and today we're talking about organ donation. And I have the pleasure of having a colleague, Dr. Nundrat Rashid, who's an intensivist here at Royal Prince Alfred Hospital and is also the director of the organ donation and I have the pleasure of having a colleague Dr. Nundrat ... |
So there are many, many ways in which you could address this. So you can be the, it could be that your intent, the conversation is intensivist led or it's a collaborative model where an intensivist brings the designated requester, introduces them and can stay with the requester and answer medical questions for the fami... |
So if their loved one had already said, I'm pro-donation, then that conversation is super easy. And it's good for the families as well. If the families don't know, but they have the loved one has, or they, you know, either they are aware or they're unaware, but the loved one has actually gone and indicated on a registr... |
Welcome to On The Wards, it's James Edwards. I'm here today talking about when is hyperglycemia an emergency on the wards and And I'm welcoming back Barbara Depchinski, who's a senior staff specialist at the Endocrinology at Prince of Wales Hospital here in Sydney. Welcome back, Barbara. Thank you. So we're going to ta... |
And why is that? Well usually there's hyperkalemia seen in DKA and that's an attempt by the body to buffer the metabolic acidosis. Under the influence of insulin, the extracellular potassium is going to go back into the cell and so serum potassium levels can drop quite precipitously. So we need to know that it's at lea... |
Okay welcome to On The Wards, it's James Edwards and today we'll talk about one of our favourite subjects which is blood sugar management or blood glucose management. It is something all junior doctors need to do and we thought we'd have a bit of a refresh and update for 2018 with Associate Professor Glynis Ross. Welco... |
But if there is a loss of beta-cell function and beta-cell production over time, then the glucose levels go up because the patient is unable to make sufficient insulin to control the glucose. But it's usually a combination of some insulin resistance and insulin production. But over time, type 2 diabetes is progressive.... |
Urine ketones are quite unreliable, and they're a default if there's absolutely no other way of measuring. So with ketones, generally they should be less than 0.6. So there's already a concern if they're above 0.6, but more concern if they're over 1.5. So in the situation where you've got a patient with high glucose an... |
Welcome to On The Wards, it's James Edwards and today I'm talking about the unwell renal transplant patient and I have Dr Erin Vaughan. Erin is a renal medicine trainee here at Royal Prince Alfred Hospital. Welcome Erin. Thank you for having me. So we're going to go about the renal transplant patient and we'll start wi... |
We're on call 24 hours a day, happy to provide phone assistance if needed. But in terms of managing the patient, it's resuscitation. If you've got a hypotensive febrile patient, that sepsis could develop into septic shock. So the basic principles of ABC, of course, but in particular, getting access, getting intravenous... |
Okay, well welcome to On The Wards and another podcast. Today's podcast we're talking about prescribing, particularly relating to common errors, common interactions and side effects. My name's Bruce Way and I'm joined by Chi Tran. Chi is a senior pharmacist in projects at Prince of Wales Hospital. She studied pharmacy ... |
Rhabdomyolysis, is that due to, do you see what that's due to? And depropionis of a statin because she's on a statin. She's dehydrated, so the appropriateness of the diuretic. The reason for the PPI, so I think it was pentaprazole. And I'm unclear with the reason for being on both warfarin and aspirin as well. So those... |
What sort of medications might be contributing to falls that you might stop or dosage adjust or whatever? Again, there's a huge list, but I'll just run through a couple. Again, the tricyclic antidepressants, like amitriptyline is a common example. They are quite sedating, increases the fall. And again, they've got the ... |
Hi, it's James Edwards. Welcome to On The Wards. Sanjay Wariya, who's a VMO breast surgeon and general surgeon at RPO. Welcome, Sanjay. Thanks, James. My pleasure. We're going to talk about a pretty common problem that junior doctors face, either on the ward or in the emergency department, and that is abdominal pain. S... |
It's also important not to exclude a lipase which is another masker for abdominal pain and it can present in a number of ways pancreatitis. For renal colic often like you've said James there is a certain way that a patient with renal colic, often, like you've said, James, there is a certain way that a patient with rena... |
The nurse rings you up and say they're post-op. Now they've got worsening abdominal pain. What sort of questions would you start with over the phone to that nurse? When asking questions to a nurse on the phone, what you really want to do is paint a picture to yourself about how the patient is. And that, again, starts w... |
Welcome to another episode of On The Wards. My name is Eloise Sobels and I'm very apologetic about my voice today, everyone. But today we're talking about non-traditional career pathways, software, innovation and digital health with Joshua Case, who is a junior doctor based in Queensland. I should also say this podcast... |
I think that was also a lie I told myself too, you know, not that I think any student should need a reason to take leisure time, but it was definitely a psychological trick I used to make me feel like I was, you know, improving my GPA or whatever when I really wasn't. Yeah. I think we all use that. Yeah. I think someti... |
So I think that was more sort of sense and sensibilities that kind of kicked in at that time. One thing I would like to try and, I guess, normalize a bit more is, you know, I think if you look at the way our career progression is structured, one-year contracts from the time you get out of medical school, recruitment st... |
It was very complicated to do that as an RMO inside a large public health organisation. So the hospital I work at now is actually an excellent hospital, but it's not part of a large public hospital network, which gives me, I guess I'm more of an external body now, which kind of allows me to interact with the network in... |
So joshtcase at gmail.com. I don't know if I regret putting my email out there. Yeah. So you can email me and I'm happy to, I don't have heaps of time for zoom calls and that sort of stuff, but very happy to shoot the breeze with anyone and point you in the right direction. Especially if you tell me where you're locate... |
Hi, welcome to On The Wards, it's James Edwards again and today we're talking with Dr Amy Freeman Sanderson. Welcome Amy. Thank you. Hi. Amy's the Head of Speech Pathology here at Royal Prince Alfred Hospital. And we're going to talk about the assessment of safety to eat in a patient who may be dysphasic or dysphagic. ... |
So we'd have thin fluids, which is just your normal drinking fluid, your tea, coffee, water. You have mildly thick, which is like a nectar consistency, moderately, which is like a honey, and then extremely, which is like a pudding. It's important that people get on the right consistency of fluid. If you can imagine if ... |
Welcome to our podcast series and this one's on alcohol withdrawal. We've invited Professor Kate Conagrave to come and speak with us today. She's an addiction medicine specialist here at RPA. Hi. Welcome. Again, as we do with all these podcasts, we start with a scenario and we're really aiming these at the junior docto... |
Yeah, exactly. So it's on the PRN chart. And of course, if you just write it there and don't tell anyone, nothing may happen. So really important you communicate with the nurses, tell them how often you want the withdrawal scale measured, which most often will be every four hours for a mild to moderate withdrawal. And ... |
I think in terms of when to call for help if it doesn't make sense or it doesn't add up, call for help because it could be something else is going on. And a number of the things that can go wrong in this situation can be life-threatening. Like, for example, if it's a head injury or an infection and it's being misdiagno... |
Welcome to On The Wards. It's Rob Mitchell here and today we're talking about pre-hospital and retrieval medicine with doctors Pat Gillespie and John O'Neill. Welcome Pat and John. Hi Rob, thanks for having me. By way of introduction, John and Pat both work at Cairns Hospital in far north Queensland. They also work wit... |
Obviously that's going to vary depending on the particular clinical situation, but are there any kind of principles that apply to all patients? Yeah, so I'd say focus on your resuscitation first. And so in all cases, you're responsible for doctors ABC and make sure that you resuscitate the patient appropriately while y... |
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