“Dad’s acting like a goldfish.”

shopping trolley

55 year old man presents to ED in the presence of his son after becoming confused at the supermarket whilst doing his morning shopping. No memory of why he was shopping, no memory of being in the supermarket or how he arrived there. Unable to … [Continue reading]

Emergency and stroke physician combined consensus statement on thrombolysis for acute stroke

The latest NZMJ contained a consensus statement from the NZ faculty of ACEM which differs slightly from the ACEM statement. It is longer than the ACEM statement and fills out some of the brief statements. As with many of these documents many of the … [Continue reading]

Biting off more than you can chew.

After being very keen and kicking off with the #FOAMed question of the day I've realised that it takes more effort and time that I want to invest at the moment. So I'll be moving back to more old style posts of cases, discussion of papers and … [Continue reading]

FOAMed question of the day 66 #FOAMedQOTD


A drunk patient is admitted to your ED to "sober up" His nurse suggests some IV fluids to help him. How effective is fluid therapy for alcohol intoxication? Answer: IV fluids seem to make no difference to time to discharge from ED in … [Continue reading]

FOAMed question of the day 65 #FOAMedQOTD

What volume of fluid from thoracocentesis is associated with an increased risk of re-expansion pulmonary oedema?   Answer: Re-expansion pulmonary oedema risk increases with volumes above 1.5l. Ref: … [Continue reading]