Ethical CPR Decisions

We spend a lot of time thinking about saving lives, and becoming expert at interventions to maximise survival.  But sometimes we need to take a step back and consider why we are doing this… what are the outcomes we would like to achieve for this patient? For this family?  It may be appropriate to set some boundaries of care.  So how do we go about having this discussion with patients and...

June 9th, 2014 by colinparker 

Holmesian Diagnostics

Last weekend I had the opportunity to present at the Australasian College for Emergency Medicine’s Winter Symposium in Broome, Western Australia.  The theme of the conference was ‘Not the Usual Suspects’, and it turned out to be a fantastic weekend: hard-edged science blended with art and humanity. International keynote speaker David H Newman MD was truly inspiring – you can...

June 23rd, 2013 by colinparker 

Ulnar Neuropraxia

A 32 year old man presents with altered sensation and weakness in his right hand, the morning after an Iron Man event. The event included several hours of cycling, using forearm rests.  This short video clip demonstrates the typical ulnar claw hand posture and weakness of intrinsic hand muscles supplied by the ulnar nerve.  If you look closely, you can see a touch of ‘cheating’ as in...

August 12th, 2010 by colinparker 

Headaches in the ED

Headaches in the Emergency Department can be, well, painful.  Many traps await the unwary.  In this presentation, Dr Hanno Davel reminds us of a few of the pitfalls of diagnosing and treating headache. GDE Error: Unable to load profile settings
June 18th, 2010 by colinparker