Owner: Life in the Fast lane URL:http://sandnsurf.medbrains.net/ Join Date: Wed, 22 Oct 2008 09:17:26 -0500 Rating:0 Site Description: The lighter side of emergency, trauma and sports medicine - an artists perspective Site statistics:Click here
Timesaver STAT V - STD notification system 2008-10-22 01:05:01 Life is busy - real busy, and we need some assistance every now and then to lighten the load. Thanks to a great article in the journal PLOS Medicine, and CNN Health Report this week - things are getting a whole heap easier.
Breaking up is hard to do - but add to the mix the conjecture, [...]
Radiology Oddity #4 2008-10-21 06:24:24
Plombage: Treatment with Lucite balls - an early treatment for tuberculosis.
Twittology - the study of Twittabilities 2008-10-19 11:22:34 I am all a twitter with tweets, twurls and twitts having just been introduced to the twitter phenomenon. I resisted the call to arms for a very long time - but have taken the plunge - and am now hooked.
There have been many suggestions for a formal ‘Twittenclature‘ to assist in the classification of Twittabilities [...]
Clinical Interpretation #3 2008-10-17 03:24:12 Q. What abnormalities are present on this lateral X-ray? (Click on the image to open in a new window)
Answer:
This lateral X-ray demonstrates a total lunate dislocation with scaphoid fracture. Note how the proximal scaphoid has migrated proximally to remain close to the displaced lunate. Normally lunate dislocation occurs following a perilunar dislocation with [...]
Clinical Interpretation #2 2008-10-15 02:47:10 Q. What sign does this X-ray demonstrate? (Click on the image to open in a new window)
A. Scapho-lunate dissociation (Terry Thomas Sign)
Terry Thomas was a famous Welsh actor who sported a gap between his two front teeth of 6mm. The Terry Thomas sign is present in the carpus of patients with scapholunate dissociation (SLD) and [...]
Dear Potential Patient 2008-10-15 02:37:38 A colleague just reminded me of one of my favorite ’letters’ published in The Courier Mail, Queensland, Australia on May 04 2008. It pertains to the workings of the emergency physician. For more information on emergency medicine and waiting times - read Primum Non Nocere…
Dear Potential
Patient,
I WORK in a public hospital emergency department, so that means [...]
S is for 2008-11-13 23:06:31 • sickie
Abbreviation: ‘a day’s sick leave’
‘I’m not going to work tomorrow, I’m going to chuck a sickie’
• stubbie
375mL bottle of beer.
*few stubbies short of a six-pack [mentally slow]
Also [Darwin stubbie]
Audio
• sandgroper
Resident of Western Australia
Origin: Sand-burrowing desert insect
• Sheila
A girl or girlfriend, a woman.
Origin: Shelah as ang
R is for 2008-11-12 18:07:33 • Rack off
Push off! Get out of here!
• Ripper
Great, fantastic
* You little ripper [Exclamation of delight or as a reaction to good news]
‘We’ve finally cleared the waiting room - you little ripper!’
• right
* you right? [Do you need my help?]
* she’ll be right [everything will be OK]
• roo
Kangaroo
• ridgie didge
Genuine article - the real thing
• ropabl
Q is for 2008-11-12 18:04:41 • quoll
A brownish, cat-sized marsupial with distinctive white spots, a long tail and pointed snout.
True Blue Quollity
[There is a video that cannot be displayed in this feed. Visit the blog entry to see the video.]
AFTB lecture notes - Community Acquired Pneumonia 2008-11-12 01:00:33 COMMUNITY ACQUIRED PNEUMONIA - ADULTS (CAP)
• Risk factors for CAP include:
Age over 50 years, asthma, smoking, pre-existing COPD, DM, CRF, CCF, alcoholism, liver disease, neoplasia, stroke, seizures, aspiration, immunosuppression, institutionalisation, indigenous.
Johnson P, Irving L et al. Community-acquired pneumonia. MJA 2002; 176:341-347 [Reference]
• Most common organism is Strep Read more:lecture
P is for 2008-11-12 00:03:41 • pork chop
* Carry on like a pork chop
To make a fuss or behave in a silly or excited way.
Origin: Elaboration of the standard phrase ‘to carry on’ with the addition of pork chop
[1] Frying pork makes an especially loud spitting noise.
[2] Possibly derived from ‘feeling like a pork chop in a synagogue‘ meaning ‘out [...]
Poisons Information Australia (PIC) 2008-11-11 08:12:02 The Poison Information Centre Australia
- 13 11 26
In Australia there are four Poison Information Centers operating in Queensland, New South Wales, Western Australia and Victoria. Each center has trained staff to provide telephone consultation to medical professionals and the general public in cases of acute and chronic poisonings - 24 hours a day.
The Australian Poison Information [...]
Top 12 deadly dangerous snakes 2008-11-11 00:47:43 Which snakes possess the ‘deadliest venoms’?
This is an age old question which can be argued time and time again. Ultimately the most deadly
snake (with the most toxic venom), and the most dangerous
snake are two entirely different concepts. Some of the snakes with the most toxic venom (as recorded by LD50 on mice and guinea pigs) rarely [...]
O is for 2008-11-10 22:02:42 • ocker
The stereotypical uncouth, uncultivated and uncultured Aussie male
Also [redneck] [yobbo]
Feminine [ockerina]
• onya
expression of encouragement
shortened form of ‘good on you’
• offsider
Helper or assistant.
• onka [Onkaparinga]
Finger
Rhyming slang: Onkaparinga is a South Australian river
‘Doc - I trapped my onka in the car door’
Brown Snake Envenomation 2008-11-10 21:19:05 Brown Snake
Brown snake envenoming is the most common cause of death from snakebite in Australia.
The hallmark of brown snake envenoming is a severe defibrinating coagulopathy.
Brown snake venom contains procoagulants, cardiotoxins and a potent presynaptic neurotoxin (Textilotoxin).
Species
Pseudonaja nuchalis: Western brown or gwardar
Pseudonaja affinis: Dugite
Pseudonaja textil Read more:Brown
N is for 2008-11-10 21:01:00 • nipper
Young surf life saver
Also - younger sibling
• no worries
That’s fine, okay, no problem.
Colloquial version of the phrase ‘not to worry’ is very common in Australia
Acute Pulmonary Oedema - Lecture Notes 2008-12-01 01:00:30 AFTB lecture notes - Acute Pulmonary Oedema (APO)
DIAGNOSIS
Acute heart failure syndrome (AHFS) spectrum can be divided for therapeutic management into:
Dyspnoea + /- congestion with elevated systolic blood pressure (SBP) >140 mmHg, usually with abrupt onset APO (most frequent type)
Dyspnoea + /- congestion with normal SBP 100-140 mmHg, usually with [...] Read more:Notes
Kreativ Blogger Award 2008-11-30 06:27:23 Thanks to Scalpels Edge who has just given me the Kreativ BloggerAward
! Each winner of the award gets to list six things he or she is happy about.
Kids - when everything around you falls apart, they stand by you - resolute to the end
Literature - collated ramblings assist to disambiguate
The end of Movember - a great [...]
Aortic Dissection - Lecture notes 2008-11-28 01:00:35 AFTB lecture notes - Aortic Dissection
EPIDEMIOLOGY
Incidence: 3 cases per 100 000 people per year; up to 25% missed diagnosis ante-mortem. ‘Typical’ case 60-80 years old M>F. Overall in-hospital mortality 27%.
Risk factors:
Inherited disease (especially younger patients < 40 yrs) - Marfan’s syndrome (fibrillin gene mutations), Ehlers-Danlos syndrome type IV (collag
Evolution and Revolution 2008-11-27 03:52:54 With the era of open source, micro-blogging, stumbling and tweeting now upon us - I, as an altruistic educator, researcher and medical professional bathe in the warm surge of ‘idealistic’ sharing’ that washes over me…but I have questions…so many questions…
What is the future/role of major publishing companies in light of open access; self-publishing and copyrigh Read more:Evolution
Venous Thromboembolism - Lecture Notes 2008-11-27 01:00:06 AFTB lecture notes - Venous Thromboembolism
AETIOLOGY: Venous Thromboembolism
Acute provoking risk factors: hospitalisation, surgery, trauma or fracture of lower limbs or pelvis, immobilisation incl plaster cast, long haul travel, recent oestrogen therapy in last 2 weeks, IV device such as cannula.
Chronic predisposing factors: Inherited: Protein C, S, antithrombin III [...] Read more:Notes
Acute Coronary Syndromes - part III 2008-11-26 01:00:48 RISK STRATIFICATION OF PATIENTS WITH SUSPECTED AMI
Less than 30% patients currently admitted to CCU have final diagnosis AMI. Conversely 2-5% AMI patients are inadvertently sent home, accounting for 25% of all emergency care malpractice dollars awarded in litigation.
Twenty-five percent AMI patients have atypical symptoms and signs, 50% an initial non-diagnostic ECG. EDs +/- chest pain [...] Read more:part III
Acute Coronary Syndromes - part I 2008-11-25 01:00:43 MYOCARDIAL INFARCTION / ACUTE CORONARY SYNDROMES (ACS) - Part I
EPIDEMIOLOGY
Over 32,000 deaths per year in Australia: largest single cause.
50% reduction age-adjusted mortality (by risk-factor modification) since 1960, still falling now, but those with chronic CAD are increasing commensurately.
Still 60-70% die prehospital (this proportion unchanged) - thus overall 28-day mortality has improved
Acute Asthma - Lecture Notes 2008-11-24 23:33:16 AFTB lecture notes - Acute asthma
CLINICAL RECOGNITION OF SEVERE OR CRITICAL ASTHMA
Severe asthma indicated by any one of (admit every patient with severe):
PEFR (or FEVI) >33≤50% predicted or best, or < 100 L/min (or I L for FEVI).
Unable to complete sentences in one breath.
Respiratory Rate ≥ 25 / min.
Pulse > 120 / min (≥110 / min [...] Read more:Notes
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