Methotrexate Toxicity

Background Methotrexate is a drug which is often unintentionally involved in medication misadventure. Because of its unusual dosage requirements (e.g. weekly rather than daily dosing) it is particularly associated inadvertent mistakes by patients and medical staff.  This may occur as a result of confusion by patients with other ‘daily’ medications or prescriptions being misinterpreted by nursing … More Methotrexate Toxicity

We Suck – 6 Tips for Controlling Pain in the Emergency Department

Bloody Pain Management! I was thinking today we suck at pain management.  I can definitely manage this patient’s pain better.  So why don’t I?  Why do I struggle to manage my patient’s analgesia? Am I too busy? What’s the problem? Why does my medical student think giving pain relief is a bad idea? If this is an issue … More We Suck – 6 Tips for Controlling Pain in the Emergency Department

Cardiothoracic Surgery – Patient Centred Post Op Advice

Cardiac and Lung Surgery Patient Advice Significant Cardiothoracic Surgery has a significant impact on patients and family.  Timely and appropriate post-operative advice is important for patient empowerment and understanding of the period of convalescence following surgery.  The following advice is for patients and carers of those having recently undergone a heart or lung operation. Below … More Cardiothoracic Surgery – Patient Centred Post Op Advice

Phillip Hughes

Phillip Hughes Like many cricket lovers around the world, I had a soft spot for Phil Hughes. I can still remember the dread I felt as an England supporter watching him thrash a very good South African attack for back to back hundreds. What on earth would he do to our bowlers? Given that he … More Phillip Hughes

Clinical Toxicology – Pearls from ICEM 2014

Clinical Toxicology 1 The Approach to the Poisoned Patient (Dr Lau Fei-lung) (1) Dose – It’s the Dose “that makes the poison“ LD50 = Lethal dose that kills 50% (2) Patient factors – individual factors that affect the likelihood of toxicity Resuscitation of the Poisoned Patient Self Protection (Universal Precautions) – consider your own safety first … More Clinical Toxicology – Pearls from ICEM 2014