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Sugar and Spice…Not All Things Nice

Synthetic Cannabinoid

The use of synthetic cannabinoids is on the rise.  They are dangerous, don’t fit a particular toxidrome, and can require emergent intervention.  They are a nasty phenomenon and this article will hopefully show you why. The Background Novel psychoactive substances…
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JC: The Quick-Wee Method for Faster Clean Catch Urine Collection

The wilful nature of children is responsible for a lot of the facial expressions we see in the paediatric emergency department but few parents are as frustrated as those waiting… and waiting… and waiting for the short-lived, poorly-timed, inevitable fountain…
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When is a Door Not a Door? Bias, Heuristics & Metacognition

This is an amended version of a talk on metacognition I gave at the Royal North Shore Hospital Grand Round. The clinical scenario has changed but the content remains the same. The purpose of this talk was to help our…
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JC: Intubate or not intubate? That is the question…

    Clinical scenario: A multi-morbid, elderly patient with renal failure and recently diagnosed hyperkalaemia suffers a cardiac arrest in your busy resuscitation area before you can start appropriate treatment. You start CPR with a fully available team and give instructions…
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Self-Rostering and Annualised Hours (or How to Keep Everyone Happy All of the Time). St.Emlyn’s

Introducing self-rostering and annualised hours  Over the last few years, in response to our ever-growing popularity with the public, the number of consultants at the St.Emlyn’s ED in Virchester has significantly grown. This, in turn means that the role of…
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