This poster was created by Simon Green, a nurse practitioner, and modified for use at Western Health by Ian Law and Neil Long
This poster was created by Simon Green, a nurse practitioner, and modified for use at Western Health by Ian Law and Neil Long
Thanks to nurse practitioner Ian Law for his presentation on paediatric fractures. Review it here:
(34min)
Compartment syndrome will be commonly encountered by emergency physicians in cases of trauma or infection of the distal limbs.
It should be considered in any significant mechanism injury as well as in cases of pain out of proportion to the injury. The 6P’s of vascular compromise (pain, pallor, perishing cold, paraesthesia, pulselessness, paralysis) are classic but often late signs.
Definitive diagnosis can be made by measuring the compartment pressure. Watch FACEM Dr Neil Long demonstrate this using common ED equipment (IVC, arterial line transducer, sterile field).
(4min)
Thanks to Liz Wyatt for her audit and presentation.
See her slides below, and view a video on Fascia-Iliaca blocks at the bottom (first video you will need to click through to Vimeo to view)
Do we USS
To Lucy Selleck and Alyza Gossat for passing the primary exam and Steven Lee and Deb Maher for passing the fellowship exam written component.
To DEMT Terence and Jenny Yuen for arrival of their son Archer.
Registrar Amar Winayak presented a case of inferior STEMI with cardiogenic shock and discussed its time critical decision points. Of note:
Consultant Keith Nallaratnam presented a few cases of dyspnoea in ED which highlighted:
Senior physiotherapist Narelle Watson presented on the incoming Virtual Fracture Clinic which begins April 18th and is a new intermediary triage process between ED and the orthopaedic fracture clinic.
Consultant David Krieser presented a series of excellent cases highlighting, amongst other things, fixation error, open disclosure and cannulation in children.
His tips for cannulation include
Elliott Adamson presented on the PEAPETT study which suggested that thrombolysis in PEA arrest where PE was confirmed had benefit. This was contrasted with other studies of PEA arrest without clear cause where benefits of thrombolysis were much less obvious.
Review his talk here.
Emily Hunter presented an audit of missed tibial plateau fractures and a guide to reviewing injuries of the knee.
Review her talk here.
Karen Winter reflected that, just as you wouldn’t miss certain steps in getting ready to go to work (shower, toothbrush, coffee x 2), there were other more intangible things important not to forget in your pre-shift preparation (empathy, diligence, curiosity).
Thanks Emily Hunter for this presentation.
Key points:
Updated 25/4/2017
HMO presentation on orthopaedics by Dr Keith Nallaratnam