Shoulder dystocia is a relatively uncommon obstetric emergency. Despite this, care providers, particularly at Sunshine Hospital, must still be aware of the steps to take to address dystocia in the event obstetric support is unavailable. Shoulder Dystocia guideline (WH – last review 2013)   Watch a short video filmed by Dr Neil Long FACEM,… Read more

Exams are one of the constant hurdles of medical life. Reproduced here are Dr Neil Long’s summary notes from the recent Regional teaching at the Northern Hospital about the fellowship exam, as well as tips regarding the Primary Exam from Cynthia   Primary exam:   Fellowship exam: The Biggest hurdle –… Read more

Dr Keith Nallaratnam has graciously extended the use of his CD collection of EM:RAP podcasts to all staff. For those unfamiliar with EM:RAP, it is a monthly American podcast hosted by Mel Herbert. Each episode usually covers about 3 topics with edited audio lectures from different prominent speakers and with… Read more

Acid-base and its practical application, according to the quantitative (Stewart) approach + the effects of fluids on acid-base. Summary: pH is determined by the need for electrical neutrality Strong ions and weak acids determine acid-base, not H+ and HCO3- The Stewart approach allows you to quantify the contribution of different… Read more