Yottalook is free radiology-centric web search engine and was designed to provide the practicing radiologists with the most important and relevant information at the time of patient care. The search engine is based on natural query analysis, semantic ontology and ranking algorithms powered by iVirtuoso. The thesaurus of medical terminologies is supported by the Radiology Society of North [...]
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Congratulations to Anthony (Tony) F T Brown on his new appointment as the first Professor of Emergency Medicine at the University of Queensland, School of Medicine. Professor Brown shares his evidence based critical care lecture series with the wider medical community through this blog.
Prof Anthony F.T. Brown (MB ChB, FRCP, FRCS(Ed), FACEM, FCEM) is a senior [...]
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Come to Australia - there are so many interesting ways to die
Emergency Musical Interlude XII
Before the emails start - NOT all the animals will actually kill you - the taipan is in fact a death adder; the tiger snake is, well not a tiger snake; hermit crabs are generally innocuous (as are koala bears); necrotising [...]
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The times they are a changing.
With the era of Generation Y doctors; open source publishing; micro-blogging; stumbling and tweeting now upon us it is important to review the potential implications of the internet age on emergency medicine.
The generational transition behind this digital revolution has already occurred in many other employment sectors and as emergency physicians [...]
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AFTB lecture notes - Acute Pulmonary Oedema (APO)
DIAGNOSIS
Acute heart failure syndrome (AHFS) spectrum can be divided for therapeutic management into:
Dyspnoea + /- congestion with elevated systolic blood pressure (SBP) >140 mmHg, usually with abrupt onset APO (most frequent type)
Dyspnoea + /- congestion with normal SBP 100-140 mmHg, usually with [...]
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AFTB lecture notes - Aortic Dissection
EPIDEMIOLOGY
Incidence: 3 cases per 100 000 people per year; up to 25% missed diagnosis ante-mortem. ‘Typical’ case 60-80 years old M>F. Overall in-hospital mortality 27%.
Risk factors:
Inherited disease (especially younger patients < 40 yrs) - Marfan’s syndrome (fibrillin gene mutations), Ehlers-Danlos syndrome type IV (collagen defects), Turner syndrome, annulo- [...]
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With the era of open source, micro-blogging, stumbling and tweeting now upon us - I, as an altruistic educator, researcher and medical professional bathe in the warm surge of ‘idealistic’ sharing’ that washes over me…but I have questions…so many questions…
What is the future/role of major publishing companies in light of open access; self-publishing and copyright [...]
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AFTB lecture notes - Venous Thromboembolism
AETIOLOGY: Venous Thromboembolism
Acute provoking risk factors: hospitalisation, surgery, trauma or fracture of lower limbs or pelvis, immobilisation incl plaster cast, long haul travel, recent oestrogen therapy in last 2 weeks, IV device such as cannula.
Chronic predisposing factors: Inherited: Protein C, S, antithrombin III [...]
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RISK STRATIFICATION OF PATIENTS WITH SUSPECTED AMI
Less than 30% patients currently admitted to CCU have final diagnosis AMI. Conversely 2-5% AMI patients are inadvertently sent home, accounting for 25% of all emergency care malpractice dollars awarded in litigation.
Twenty-five percent AMI patients have atypical symptoms and signs, 50% an initial non-diagnostic ECG. EDs +/- chest pain [...]
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EMERGENCY DEPARTMENT / EARLY MANAGEMENT STEMI or NSTEACS
Targeted clinical examination and 12-lead ECG within 10 minutes.
Oxygen, aspirin 75-325 mg orally (odds reduction in vascular events of 46%), nitrates S/L or IV (unless SBP < 90 mmHg, bradycardia < 50), and adequate parenteral analgesia for everyone.
Reperfusion strategy, for ST elevation or LBBB on ECG presenting within [...]
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