Cut to the Case
             Cases from Emergency 

Exercise induced syncope: Can Quick BRAD Walk Home? Jonathan and Emma discuss a case applying a useful mnemonic for evaluating the causes of exercise induced syncope.

Emma and Jonathan discuss how to successfully achieve front of neck access in an emergent "can't intubate, can't oxygenate" team situation.

Just how accurate is FAST in penetrating abdominal trauma?  Amy and Jonathan discuss a case where it seems a negative fast lets Jonathan down. But was that really the case. Amy explains the limitations of ultrasound in this situation.

Amy and Jonathan discuss the use of ultrasound to evaluate a patient with shortness of breath with a normal clinical exam and Xray. When the ultrasound reveals a surprise pericardial effusion Amy explains the ultrasonographic signs of tamponade.

In Part 2 of the pacing podcast, Jonathan Papson and Emma West discuss the use of the pneumonic LEADS to take charge and take control of a critical situation.

Emma West and Jonathan Papson discuss a situation where a procedure needs to be done, but the patient is a “high risk” for conscious sedation. With a little help from the orthopaedic team, regional anaesthesia proves to be the answer.

Emma West quizzes Jonathan Papson about a case of a multi trauma patient who has fallen from a bridge. They explore how they set up to receive, evaluate and manage a patient with neurogenic shock, never forgetting that in trauma things aren't always what they seem.

Jonathan Papson and Amaali Lokuge discuss a routine case of renal colic. Turns out ultrasound can help with both assessment and disposition right at the front door of Emergency !

Amy McAllister and Jonathan Papson use lung ultrasound to work through the DOPES pneumonic  - a useful approach to ascertain the cause of post intubation hypoxia in a critically unwell woman.

Suspected pulmonary embolism in late pregnancy. What’s the approach? How do you work the patient up? Which scan and why? It’s Jonathan Papson's turn to quiz Emma West.

Luke De La Rue and Jonathan Papson discuss a case of a post arrest patient with ongoing pain and hypovolaemia who is at imminent risk of arresting again. Ultrasound again proves useful not only in identifying the type of shock but also the cause.

Jonathan Papson and Emma West discuss a case of suspected laryngeal fracture. How do you assess? What do you do when the patient then wants to discharge themselves against medical advice?

Emma West and Jonathan Papson discuss a high risk case which which quickly unravels in the CT scanner. Thorough assessment and graded assertiveness save the day!

Junctional Trauma! Jonathan Papson and Emma West discuss a trauma case where the elusive cause of shock turned out to be bleeding obvious. But Fixing the problem would prove to be the real challenge.

ROSC: Now what? Jonathan Papson and Amaali Lokuge discuss the use of ultrasound in assessing the post ROSC patient, finding causality and complications way before anyone books the CT scan.

Dislocated shoulder? Paraplegia? Jonathan Papson and Emma West discuss a case where the temptation to treat serious, but non life- threatening injuries distract from completing the primary survey thoroughly

Jonathan and Emma discuss a patient who arrived with seizures but was unexpectedly found to be in complete heart block. They discuss the how resuscitate with the rapid commencement of external pacing.

Jonathan and Emma discuss the case of a young man presenting with a frightening epistaxis and threatened airway from either a recent tonsillectomy or adenoidectomy. Good setup, as well as a step by step plan as to what to if those plans fail is the key!