• ed47aac7-0b69-415d-be25-41bcfb30060e_Yolanda-Ausmat2

    »

    AusMAT Bravo on the way to the Philippines

    Team Bravo heads to Tacloban to continue the “shining light” that is the Australasian AusMAT medical response to Typhoon Haiyan. Be safe guys. http://www.abc.net.au/news/2013-11-27/medical-team-leaves-for-tacloban/5121146

    Read More
  • tacloban

    »

    AusMAT in Tacloban after Typhoon Haiyan

    I just wanted to share here a link to an ABC write up of the AusMAT deployment in Tacloban after Typhoon Haiyan. Ian Norton and Mark Little are out there leading a team of dedicated folk around the clock, and will soon be relieved by a second team going out this week, led by Nick […]

    Read More
  • Belle__s_Cello_by_tidalkraken

    »

    Busting the clotbusters (from SMACC 2013)

    As revenge for an incident best left unmentioned, Chris Nickson of LITFL.com and iTeachEM.com handed me the poisoned chalice of speaking on tPA for stroke at SMACC 2013. This is the result. (Un)fortunately there is no actual video footage as I wasn’t important enough, so my Finnish heavy metal air cello will be left to […]

    Read More
  • Pillar-to-post

    »

    Dundrum Quay (posted in tribute to Seamus Heaney)

    Barnacle encrusted stumps remain. Thrusting, vertebral fossils From tidal glar pools and rising silt. The bar is no longer dredged: Time gently smudges over noisy, dark, Dangerous memories: Coal-black, Bent-backed, Hard men stooping – Their iron shovels grate on coal, Organic metronomes in coal boat bellies. I remember dimly the last coal boat That hove […]

    Read More
  • 8630_dr_house

    »

    Health care – do we (and HOW do we) really CARE?

    this post first appeared on my original blog, the underneaths of things, and I was prompted to repost it by Andy Neill of emergencymedicineireland.com linking back to it: This is a re-post of a rant I let slip on a colleague’s FB page – he had just published an article in the local rag (The […]

    Read More
  • asm2

    »

    Imagining the future

    This is the footage from one of the sessions I chaired at last November’s ground-breaking ACEM ASM in Hobart. The theme of this session was “Imagining the Future” featuring Kendall Ho, Mike Cadogan and Stephen Atherton. It’s long, but there is some good stuff in there. Excuse the mumbling chairman…and the lack of audio in […]

    Read More
  • Shades-of-Grey

    »

    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

    Read More
  • photo (26)

    »

    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 […]

    Read More
  • 20130319-234630.jpg

    »

    @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 […]

    Read More
  • Jesus-loves-the-craic-march-2011

    »

    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 […]

    Read More
ecg_question

»

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, […]

ecg_question

»

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 […]

stemi_pericarditis_mattu

»

Here’s the rub: STEMI vs pericarditis

I had intended to follow up my recent series of posts on STEMI vs pericarditis, a pet topic of mine (1. case / 2. ECG interpretation / 3. follow up), with a piece on differentiating these two entities. However, my posts were spotted by the incomparable ECG expert Amal Mattu, and he has based this week’s UMEM “EKG of the […]

ed47aac7-0b69-415d-be25-41bcfb30060e_Yolanda-Ausmat2

»

AusMAT Bravo on the way to the Philippines

Posted by on November 27, 2013

Team Bravo heads to Tacloban to continue the “shining light” that is the Australasian AusMAT medical response to Typhoon Haiyan. Be safe guys. http://www.abc.net.au/news/2013-11-27/medical-team-leaves-for-tacloban/5121146

tacloban

»

AusMAT in Tacloban after Typhoon Haiyan

Posted by on November 22, 2013

I just wanted to share here a link to an ABC write up of the AusMAT deployment in Tacloban after Typhoon Haiyan. Ian Norton and Mark Little are out there leading a team of dedicated folk around the clock, and will soon be relieved by a second team going out this week, led by Nick […]

Belle__s_Cello_by_tidalkraken

»

Busting the clotbusters (from SMACC 2013)

Posted by on October 4, 2013

As revenge for an incident best left unmentioned, Chris Nickson of LITFL.com and iTeachEM.com handed me the poisoned chalice of speaking on tPA for stroke at SMACC 2013. This is the result. (Un)fortunately there is no actual video footage as I wasn’t important enough, so my Finnish heavy metal air cello will be left to […]

Pillar-to-post

»

Dundrum Quay (posted in tribute to Seamus Heaney)

Posted by on August 31, 2013

Barnacle encrusted stumps remain. Thrusting, vertebral fossils From tidal glar pools and rising silt. The bar is no longer dredged: Time gently smudges over noisy, dark, Dangerous memories: Coal-black, Bent-backed, Hard men stooping – Their iron shovels grate on coal, Organic metronomes in coal boat bellies. I remember dimly the last coal boat That hove […]