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Hypotheticals

These cases are all hypothetical, conjured up from the depths to illustrate clinical decisions and FOAMed resources relevant to the rural or resource-limited setting. Any resemblance to existing patients or locations is purely coincidental and I stress these cases are NOT based on my own patients!

Hypothetically speaking, how would you manage each of these cases in your usual workplace? Any room for improvement?

Whilst clinical management is reliant upon appropriate clinical knowledge and skills, there may be other factors – staffing, equipment, physical environment, availability of investigations or other tests that could be improved.

The resourceful rural doctor will adapt, improvise and overcome. Truly we are the Macgyvers of medicine!

HYPOTHETICAL CASES

CASE # 1 – SIMPLE TRAUMA OR JUST UNLUCKY

What are your options for the intoxicated patient with limb trauma?

CASE # 2 – DON’T PULL TOO HARD!

An obstetric crisis – cord separated and a retained placenta. What next?

CASE # 3 – AIN’T THAT A KICK IN THE HEAD?

It’s never good when trauma involves a horse. Worse still if signs of a subdural…

CASE #4 – IT’S SHOCKING!

Your (deceased) patient has an ICD in situ and the undertaker advises you that a cremation is planned. No cardiac tech for hundreds of km. Can you safely disarm it in the bush?

CASE #5 – SOMETHING’S WRONG WITH MY BABY

Kids are just little adults, aren’t they? A six day old child is gravely unwell. See how you go with this hypothetical case…

CASE #6 – FIND THE BLEEDING, STOP THE BLEEDING!

We all go to EMST-ATLS courses and learn the ABCDE mantra. But FOAMed offers so much more. Consider what your options would be as a rural clinician faced with catastrophic haemorrhage…


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About

KIdocs.org

KIdocs.org

Rural Doctor on Kangaroo Island, South Australia with interests in emergency medicine, anaesthetics & trauma. Supporter of #FOAMed; EMST Director. Sites - KIdocs.org & RuralDoctors.Net Opinions expressed on this site must not be used to make decisions about individual health related matters or clinical care as medical details vary from one case to another. Reader is responsible for checking information inc drug doses etc.

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