Art of Emergency Medicine Abrar and Kishan

Here we discuss the administration and logistical challenges faced by a Rural Emergency department in a question and answer table format for the same clinical scenario as Cast 24 - Haematological Malignancy.  For the Cast Notes go to artofemergency.com 

We discuss a question here on a patient presenting with a Haematological Malignancy delving into the differentials and their aetiologies (more possible questions and answers revealed in the SAQ document), clinical features, CXR and CT interpretation along with complications.   Please follow the link to the SAQ on  . 

In this episode, Kishan and I are back with a bang - a lot has happened over the last 12 months.  We discuss an SAQ on a special situation / complex case of Postpartum Psychosis.  This is designed to have 3 sub-questions totalling 12 marks.  We begin with identifying features on history followed by specific examination and management options.  This type of SAQ is one where if you have not come across the topic before, it will be difficult to score full marks.  Check out the full SAQ on www.artofemergency.com

We discuss a potential question here on Cord Syndromes delving into the different types of syndromes and their aetiologies (more possible answers revealed in the SAQ document), clinical features and prognosis.  We then progress potential questions into neurogenic vs spinal shock along with management of one such critically unwell patient.  The SAQ starts with an x-ray image interpretation so please follow the link to the SAQ on  . This cast was recorded in mid 2021 however the author has provided a modified version of this to the Feb 2022 Monash Trial OSCE.  

Here we discuss a Dermatology SAQ with a difference.  Starting with an image description and differential diagnoses, we enter into DRESS (Drug reaction with eosinophilia and systemic symptoms).   How would you differentiate between DRESS and SJS/TENS? How do you assess and manage an entity like this? And what do you do when a patient with a rash deteriorates?  For the SAQ with images, go to www.artofemergency.com

In part 2 of our discussion with FACEM Dr. Jonathan Henry and his experience in a resource limited setting in Vanuatu, we cover ways one can advocate for patients both clinically as well as health promotion, barriers to care and social determinants of health using examples.  We go through some amazing tips, tricks and hacks that he has picked up during his work (think MacGyver!).   Finally, we go through some words of wisdom important for those who may one day want to follow their heart and practice emergency medicine in a resource limited setting.  For shownotes, visit