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tPA – black and white or shades of grey?
This is a micro-post just to illustrate yet another problem with the Boehringer Ingelheim/Neurology juggernaut pushing the Emergency Medicine community towards lysing anyone with a tingle. Ryan Radecki just posted this little vignette on the real incidence of stroke mimics (AKA “neuroimaging negative” stroke) with the associated reference on emlitofnote: http://www.emlitofnote.com/2013/04/neuroimaging-negative-strokes-are-lie.html
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DO2GMA
This is the first in what will hopefully be a series of posts by new underneathEM.com recruit Dr Kate Field, an Emergency Physician based at Calvary Hospital in Hobart. In this episode, Kate takes a look at the dogma and assumptions underlying the most commonly (un)prescribed drug delivered in our Emergency Departments. Subsequent posts will [...]
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@TheTopEnd interviews underneathEM
Minh le Cong (@rfdsdoc) from down on the PHARM has hosted some of Doug Lynch’s (@TheTopEnd) “jellybean” interviews from the SMACC 2013 conference in Sydney last week. A selection of his chats (including one with Doug, Minh and I where we discuss my stroke lysis talk, Ireland, Tasmania, and the state of the nation) can [...]
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FOAM & SMACC craic – from outside the citadel
I’ve been thinking about FOAM since SMACC2013 (Social Media and Critical Care)…thinking a lot and talking to some friends. I’ve cleared my desk literally and figuratively for a while and intend to read a lot and spend sometime away from computers and in the fresh air. But for good or ill I’m going to share [...]
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FOAM is bubbling up – bringing FOAM to the medical masses
I was asked to present at my hospital’s Grand Round last week, and I elected to present on FOAM. The idea was to try and introduce the concept to an audience beyond ED/CritCare, and perhaps engage some of our colleagues from a wider spectrum of interests to the benefits of FOAM. I managed to capture [...]
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ECG sagas of subtlety 2
You may have noticed that I am an ECG geek – I love their simplicity and their complexity. I certainly don’t claim guru status, as I don’t possess expertise in the same way that Amal Mattu or Steve Smith do, but I do love ECGs. I regularly arrive on the ED floor at morning handover, [...]
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The Hypocritic Corpus
As I stand over this: Screaming human? Patchwork Scarred Scared Amphetamine fuelled Pulsing rage, With a syringe of midazolam -fantazaslam! Invoking the Mental Health Act, As if I believe in it -The gospel according to psychiatry I realise this does not rest easy Beside the mumbled Greek of Hippocrates, Sworn in a marbled hall in [...]
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ECG sagas of subtlety 1
This is the first of a (probably ongoing) series of posts in which I will discuss ECGs where subtle findings resulted in disagreement in diagnosis, and some differences in how best to manage the patient. By way of a shoutout and a thank you, I’d just like to preface this by saying that there is no [...]
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The audacity of FOAMed
Mike Cadogan raising a glass to the audacity of FOAMed. Image created by underneathEM.com author Domhnall Brannigan (after Shepard Fairey and commissioned by Chris Nickson). Mike has just written an explanatory piece on the birth of FOAMed on LIFTL.com here.
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Three hospitals in parallel dimensions
There exist three hospitals in parallel dimensions. This may be the root of all service delivery problems in public healthcare systems, including the spectre of access block. A bold statement, I know, but read on… The idea of three parallel hospitals was first introduced to me by a mentor and colleague, Dean Powell, and I [...]
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tPA – black and white or shades of grey?
This is a micro-post just to illustrate yet another problem with the Boehringer Ingelheim/Neurology juggernaut pushing the Emergency Medicine community towards lysing anyone with a tingle. Ryan Radecki just posted this little vignette on the real incidence of stroke mimics (AKA “neuroimaging negative” stroke) with the associated reference on emlitofnote: http://www.emlitofnote.com/2013/04/neuroimaging-negative-strokes-are-lie.html
»
DO2GMA
This is the first in what will hopefully be a series of posts by new underneathEM.com recruit Dr Kate Field, an Emergency Physician based at Calvary Hospital in Hobart. In this episode, Kate takes a look at the dogma and assumptions underlying the most commonly (un)prescribed drug delivered in our Emergency Departments. Subsequent posts will [...]
»
@TheTopEnd interviews underneathEM
Minh le Cong (@rfdsdoc) from down on the PHARM has hosted some of Doug Lynch’s (@TheTopEnd) “jellybean” interviews from the SMACC 2013 conference in Sydney last week. A selection of his chats (including one with Doug, Minh and I where we discuss my stroke lysis talk, Ireland, Tasmania, and the state of the nation) can [...]
»
FOAM & SMACC craic – from outside the citadel
I’ve been thinking about FOAM since SMACC2013 (Social Media and Critical Care)…thinking a lot and talking to some friends. I’ve cleared my desk literally and figuratively for a while and intend to read a lot and spend sometime away from computers and in the fresh air. But for good or ill I’m going to share [...]
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