Set suspected fractured scaphoids free!
Suspected scaphoid fracture – the orthopaedic diagnosis that sends some of us into paroxysms of fear, others perpetual perplexity – or should …
GPs and MRIs
Can GPs order MRIs? If so, for what? How easy is it for them? Having discussed this over the weekend in Area …
How many uses of a urinary catheter can you think of?
Urinary catheters are versatile things, that can be useful in a variety of situations. How many uses of a urinary catheter can …
Intra-arterial therapy for large vessel stroke
This study (MR CLEAN) has the potential to change stroke therapy considerably. Patients with proven large vessel occlusion were nearly all treated …
IST3 18 month follow up mortality
The 18-month follow up of the IST3 trial showed some interesting effects of tPA on mortality. It decreased overall mortality at 6 …
Age adjusted D dimer in PE
We’ve discussed before the use of age-adjusted d-dimer cut-offs in the exclusion of PE. A recently published retrospective study found that 4/273 …
CRP in suspected pneumonia
In their latest guideline, CRP is recommended by NICE to help determine if antibiotics are necessary in immunocompetent patients with a pulmonary …
Dense artery sign on CT for stroke
A recently published study in Stroke found that a dense artery sign on non contrast CT head is approximately 50% sensitive and …
Transfusion seminar
Preliminary program – 2014 TORC Seminar If anyone fancies ‘one day in September’ in Melbourne, here is your chance – a transfusion …
Stroke thrombolysis
Another study claiming to show that tPA is an effective therapy for stroke. Gumbinger C ,Reuter B ,Stock C ,Sauer T ,Wiethölter …
Rheumatic heart disease seminar at WCH
It looks interesting – and there is food too…
Thrombolysis (alone) for intermediate risk PE improves haemodynamics but not survival, at the cost of extra stroke and bleeding
Thrombolysis in the non critically ill patient with PE causes 5% increased risk of bleeding and 2% increased risk of stroke, but …