Sprint-Start-Track_092012-572x368

don’t jump the gun…

the case. an elderly male is bought to ED following a high-speed motor vehicle accident having driven his car into a tree at ~100 km/h. He is complaining of severe chest pain & trouble breathing.

Wrong Way Go Back

going the wrong way…

the case. 56 year old male presents to ED with dyspnoea, cough and small-volume haemoptysis.

world-map

the long way round…

the case. a 52 year old male presents to your Emergency Department with more than 24 hours of typical sounding, retrosternal chest pain.

bigmind-the-gap

Mind the gap…

the case. a 29-year old female with a past history of anorexia nervosa, polycystic ovarian syndrome, chronic back pain and analgesic abuse presents to the Emergency Department.  She describes 3 days of bilateral ankle and facial swelling.  She tells you that she has been taking ‘lots of painkillers’ for her back pain.

Waterfall

FALLS protocol…

Below is the main content discussed at an ultrasound workshop I ran this week at the Sydney HEMS Clinical Governance Day.