When a child's low blood glucose improves, what still needs explaining? In this 2012 discussion, Natalie May explores hypoglycaemia beyond diabetes, the possibility of underlying illness, and the decisions around investigation, observation and referral to paediatric colleagues.
Journal ClubEvidence-Based Medicine
Can ultrasound improve assessment of suspected skin and soft tissue infection in children? This 2012 journal club introduction questions whether finding an abscess necessarily improves outcomes, and raises concern about unnecessary interventions before linking to further ultrasound learning resources.
Procedural sedation involves more than choosing a favourite drug. Using contrasting ankle-injury scenarios, this 2012 discussion explores how analgesia, sedation, anxiety relief and amnesia contribute to a plan tailored to the patient's needs and existing medical problems.
Can case conferences help teams learn without becoming an exercise in blame? Rick Body uses a hypothetical asthma emergency to explore constructive reflection, fair feedback and the importance of recognising good care alongside opportunities to improve.
Philosophy of Emergency Medicine
How much diagnostic uncertainty can clinicians and patients accept? Part three of Risky Business explores how percentages and natural frequencies shape risk perception, and why missed disease must be weighed alongside the harms of further testing and the patient's perspective.
Conference ReportsMedical Education
St Emlyn's prepared for SimWars at SMACC 2013 in Sydney with enthusiasm and a playful concern about Australian wildlife. This 2012 preview introduces the team's plans and a pre-competition session with Minh le Cong, Natalie May and Simon Carley.
Practical perspectives on trauma care and team leadership.
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