Challenging consultations

Cite this article as:
Davis, T. Challenging consultations, Don't Forget the Bubbles, 2017. Available at:
http://doi.org/10.31440/DFTB.11089

A recent consultation with a patient did not go well. One initial seed of patient dissatisfaction could not be appeased and it just spiralled as the consultation went downhill. The patient left feeling unhappy, threatening to sue me if they died in the night, and I was left with a sinking sensation in the pit of…

Mandible x-rays

Cite this article as:
Davis, T. Mandible x-rays, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.10597

An orthopantomogram (OPG) is a good view to demonstrate most mandibular fractures.   A PA mandible shows the displacement of fractures. It also demonstrates symphysis menti fractures which can be missed on the OPG. If an OPG cannot be obtained, a lateral view can be helpful. The body and ramus can be viewed along with…

Eye emergencies – quiz

Cite this article as:
Singh, B. Eye emergencies – quiz, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.10452

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

Cite this article as:
Davis, T. Ankle x-rays, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9992

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

Cite this article as:
Tagg, A. Can’t intubate, Can’t Oxygenate, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9814

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

Cite this article as:
Goldstein, H. Treadmill Burns, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9710

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…

Through the looking glass

Cite this article as:
Tagg, A. Through the looking glass, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9685

As we head out winter in the southern hemisphere the northern hemisphere can see that ‘Winter is Coming’ and with it the scourge of the paediatric emergency departments – bronchiolitis.  It’s one of those diseases that the we should all be able to spot but the real challenge is picking up those that present as…