by acemexamadmin | Jun 7, 2020 | Uncategorized
Remember the ‘Golden Numbers’ – 75, 100, 150, 200. Atrial Flutter 2:1 block can present as broad complex tachycardia at rate 150 if bundle branch block exists. Be wary of rates that are perfectly regular with rates of 75, 100, 150, 200 – they may represent...
by acemexamadmin | May 28, 2020 | Uncategorized
GBS presents occasionally to ED as paediatric or adult weakness. Key components of the clinical picture include -varying degrees of lower limb weakness ( sometimes presenting as new onset ‘cannot walk’), LMN signs in ascending pattern -usually mostly motor, but some...
by acemexamadmin | May 23, 2020 | Uncategorized
The ED PHYSICIAN considerations are the difficulty excluding airway inhalational burn, overestimation of TBSA and the evidence deficit for what formula and type of fluid to use for resuscitation.
by acemexamadmin | May 23, 2020 | Uncategorized
The best clinical indicator of inhalational burn is stridor – if absent – facial or lip signs are inaccurate at predicting supraglottic or glottic injury. Use awake oral anaesthetic laryngoscopy with ketamine dissociation to exclude inhalational injury...
by acemexamadmin | May 23, 2020 | Uncategorized
Use a Lund and browder chart in children and Wallace’s rule of nines in adults.
by acemexamadmin | May 23, 2020 | Uncategorized
4ml/kg/tbsa has been the standard formula used in most ed settings in Australia and ANZBA has further endorsed this for adults. Most Paediatric centres in Australia actually suggest 2 or 3 ml/kg / tbsa – which is a modified formula Hartmanns is the suggested...
