Eye emergencies – quiz

Anatomy Label all the parts of the following diagram: Label all the parts of the following diagram: History and examination: Trauma directly to the globe is associated with what pattern of orbital injury? True or false: Trauma to the lower orbital rim is commonly associated with minor orbital injury? Eye lid laceration may be a…

Ankle x-rays

The ankle consists of three bones – the tibia, the fibula, and the talus. The ankle also consist of two joints – the ankle joint (where the tibia, fibula and talus meet) and the syndesmosis joint (the joint between the tibia and fibula which is help together by ligaments). There are three main sets of…

Can’t intubate, Can’t Oxygenate

Paediatric critical procedures are rare in the emergency department. Data from one Victorian network showed that 83% of emergency physicians had not performed one in a twelve month period. We also know from audit data that we seem to have a lower first pass success rate (around 78%) when it comes to paediatric intubation. We…

Treadmill Burns

Chase, 3, is brought in by ambulance with his hand wrapped in a towel. His sweaty father – wearing running gear – explains that Chase touched the treadmill whilst Dad was in full flight. A recently published paper in Burns reviews the epidemiology of treadmill burns; Goltsman D, Li Z, Connolly S, Meyerowitz-Katz D4, Allan…

A new approach to febrile infants

The fortnight has seen two hot off the press articles by a group from the Basque Country. They are challenging the existing paradigm in the investigation and management of febrile infants with their “Step by step” approach. The approach questions the relative supremacy of the Rochester criteria as a basis for investigating and managing infants under…