A Very Concerned Mother

A Very Concerned Mother

A mother brings her 2-year-old son to the Emergency Department. They have previously presented 10 times over the past six months and on each occasion have been discharged. He has previously been investigated for multiple episodes of rectal bleeding, and no cause...
Arterial Line Placement

Arterial Line Placement

Arterial line placement is a very common procedure in critical care and emergency medicine settings. The most common indications are: Haemodynamic instability requiring continuous direct BP monitoring Titration of vasopressors (or other cardioactive drugs) Need for...
What’s New in Trauma? (ATLS 10th Edition Updates)

What’s New in Trauma? (ATLS 10th Edition Updates)

The Advanced Trauma Life Support (ATLS) program was introduced in the 1980s to address the need for higher-quality trauma care, particularly in the “first hour” after injury, following an incident in which an orthopaedic surgeon crashed his plane in a rural setting....
Survival Tips for Night Shifts

Survival Tips for Night Shifts

In the 14 years or so that I worked regular night shifts in the Emergency Department, I’m not sure I can honestly say that I ever fully adapted to them. It is well recognised that there is an increased risk of poor decision-making and errors at night, and it is,...