Monthly Archives: May 2012

Dabigatran – a bloody mess?

The grumbling concerns and problems with dabigatran, including haemorrhagic complications, lack of a tidy reversal agent and widespread off-label use and associated problems are well summarised in Ryan Radecki’s (of emlitofnote.com) opinion article in Annals of IM here. I have … Continue reading

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Resuscitation Stuttering

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Stroke thrombolysis and IST-3 – is it another false dawn?

So IST-3 is out… You can register with the Lancet for free and get a copy here.  You really need to read it in full. To me the abstract appears barely related to the full text. Don’t take my word for … Continue reading

Posted in Discussions and rants, Medical Musings | 8 Comments

Wilderness Medicine Case – ugly feet follow up!

(Again, thanks for the images kindly supplied by Andrew of footloosefotography.com from his recent PNG trip where he provided medical support for a group on the Kokoda track) I won’t formulate a whole Fellowship VAQ style answer to the question asked … Continue reading

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What an honour – my lowly blog gets a LITFL Review mention!

Many thanks to Kane Guthrie (@antidoped) for the shout-out in the latest LITFL Review number 064 for my post on a recent case of OOHCA with a Brugada pattern ECG. Be sure to read the comments and the follow up posts here … Continue reading

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A Wilderness Medicine case – #wmed

I have a bit of an interest (unfortunately currently an armchair interest, but will one day rectify that again) in wilderness and environmental medicine. So, occasionally a vignette will sneak on here from that arena. That is not to say … Continue reading

Posted in Cases, Education, Medical Musings, Photography | 3 Comments

More on the OOHCA case with Brugada pattern ECG

Thanks to Bortolo Martini for this comment: “this ecg in a patient resuscitated from a cardiac arrest is totally aspecific. PH was 6.6. The patient had initially asystole!! Why not consider ictal syncope??” In response: The assumption that the ECG … Continue reading

Posted in Discussions and rants, ECGs, Education, Medical Musings | 3 Comments