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Scapular manipulation for shoulder reductions

I was back up north doing a locum shift in my old stomping ground last week and had an opportunity to try out a new technique for shoulder reduction. Shoulders are a lot of fun. They tend to be young...

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US Scalene Block for Shoulder Reduction

A Prospective Comparison of Procedural Sedation and Ultrasound-guided Interscalene Nerve Block for Shoulder Reduction in the Emergency Department Acad Emerg Med. 2011 Sep;18(9):922-7 PMID 21883635 Not...

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Anatomy for EM – The Shoulder Part 1

This is a series of posts where I’m trying to transfer my anatomy lectures to a blog format, with emphasis on the clinically relevant points. Images are mainly from the 1918 Grays, freely available and...

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Anatomy for Emergency Medicine 023 – Shoulder: Dislocations

This is a fun one. We all love a good dislocation. I cannot recommend shoulderdislocation.net enough. Spend some time there, get a room, enjoy the view. There’s some great stuff on there. If you’re...

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Workshop for EMS Gathering

This is the post I created for the guys who attended the “Social Media and EMS” workshop at the Irish EMS Gathering in May 2013. Hopefully something from the 2.5 hrs stuck in your brains so that you’re...

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The Crashing Asthmatic

I had prepared this before the 3MG trial came out and hat tip to simon carley and his post for alerting me to it. UPDATE: have since read the 3MG trial and here’s my thoughts on that In my current...

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The 3MG Trial

Didn’t even know this trial was being done till Simon Carley posted on it. It came just too late to be added to be talk on the Crashing Asthmatic but there you go. Here’s my two cents on the trial...

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The decision to intubate

[Image Wikipedia Commons] [This has been floating about as a draft post here for ages, but Cliff has finally inspired me to put it out there and have the discussion following his recent post on The...

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The decision to intubate – the follow up

[Image Wikipedia Commons] A few days ago I posted a few cases to try and elicit the reasoning behind why we intubate people. Check out the comments to get a feel for what people were saying. Here’s...

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Tasty Morsels of EM 029 – Globe Rupture

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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What lies beneath

One of the key things in looking at x-rays is being able to visualise the anatomy – what does each shadow and each area of whiteness represent anatomically. The x-ray is a rough representation of the...

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Thrombolysis for stroke head to head in the BMJ

Hat tip to Domhnall for the heads up on this one. The BMJ runs a series of head to head articles where two sides of a debate are presented. They tend to be written by the main players and always make...

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SMACC Gold is Coming

I missed last years SMACC, much to my dismay. A much awaited baby and a struggling bank account got in the way. The baby was (and still is fun), the bank account not so much… But SMACC is back. It’s...

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Tasty Morsels of EM 030 – Signs of a brain tumour in Kids

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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Tasty Morsels of EM 031 – Retrograde p waves

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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Tasty Morsels of EM 032 – Lens Injury

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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The ECG in the poisoned patient

Most patients presenting to the ED with either accidental or intentional drug ingestion will get an ECG. In most departments I’ve worked in, the senior doctor looks at all the ECGs, primarily for...

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Tasty Morsels of EM 033 – Melanoma recognition

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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Tasty Morsels of EM 034 – HIV Emergencies

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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Tasty Morsels of EM 035 – Erythema Multiforme

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource...

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