Concussion

This week’s Podcast of the Week is from the SGEM – another great interview with Anthony Crocco. Ken Milne and Anthony Crocco discuss paediatric concussion. How long should patients rest up at home before returning to their normal activities? And can IV hypertonic saline help relieve a concussion-related headache? If you only listen to one podcast this week,…

Cardiac Syncope

Cardiac syncope is extremely rare but potentially fatal. 24% incidence in subsequent cardiac arrest – 10 Australian youths die suddenly every week due to SADS (Sudden Arrhythmic Death Syndrome). These deaths are rare, but preventable. We see a lot more cases with warning symptoms than deaths. We need to recognise the importance of the identification of cardiac syncope to…

Reflex Syncope

Neurally mediated syncope is a heterogenous group of autonomic disorders resulting in orthostatic intolerance. It peaks in toddlers and adolescents. There are two main groups – reflex and postural orthostatic tachycardia syndrome (or autonomic failure). In this post, we will discuss reflex syncope.

ILCOR’s draft guidelines

On October 15th This year ILCOR (International Liaison Committee on Resuscitation) will publish its updated recommendations in Circulation. ILCOR’s guidance is currently available in draft form at https://volunteer.heart.org/apps/pico/Pages/default.aspx where public comment is invited.

ED board bingo

Anyone who works in the Emergency Medicine is likely to be used to an ED ‘board’ or screen displaying all the patients in the department. This contains information such as name, age, triage category etc. It often has a summary of what the patients, or parents/carers in case of a children’s ED, said they came…

Knee X-rays

1.  Know your knee anatomy See the the anatomical landmarks on the diagrams below.   Remember that the knees of younger children will look different, as the patella forms, and the ossification centres form.   2. Look for an effusion There are two fat pads in the knee the suprapatellar fat pad the prefemoral fat…