Bradycardia and Pacing SHOW NOTES Sinus bradycardia – 5 causes Fit Cold Drugs- β-blockers, CCBs, digoxin Sick-sinus syndrome Hypothyroidism Types of Heart block 1st degree Prolonged PR interval >0.2s 2nd degree Mobitz I (Wenkebach) Progressive PR prolongation until a beat is dropped Mobitz II PR interval is constant, dropped beat randomly 3rd degree (complete) Complete … More Pacing and Bradycardia Quick Summary

Is the VBG replacing the ABG in trauma? We were not sure about this important question –  but have seen emerging controversy in the literature regarding whether the VBG is a suitable surrogate for ABG in trauma… (Reference – Rudkin et al – Click Here).  Perhaps we should be asking is the VBG an adequate … More Is the VBG replacing the ABG in trauma?

Team Based Learning (TBL) TBL is a active group of small group learning that involves small groups and is less resource intensive to run than problem based learning (PBL). It is often used in business education. According to Burgess et al (2017) medical schools have long used a variety of approaches to develop hybrid PBL curricula. … More Team Based Learning in Medical Education

Abdominal Pain Case 5 ‘Severe epigastric pain’ Janice is a 55 year old female who presents to the Emergency Department (ED) with severe epigastric pain and three episodes of vomiting over the last twelve hours. On examination she is tachycardic, diaphoretic and appears to be in significant discomfort.  Which of the following listed is the … More ABDOMINAL PAIN CASE 5

Re: ACEM OSCE 2019:1 ‘Refugee‘ Station   Emergency Department Back of Bourke Base Hospital NSW 2121 Australia   April the 1st 2019 (not in jest) Dear Dr Jeff Cott, Cultural competence is a central part of Emergency Medicine practice, especially in 2019 in an Australasian setting.  I was glad to hear that ACEM are considering … More The Latest ACEM OSCE Controversy