RPH Emergency Department Christmas Party 2016

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Date: Saturday 10th December 2016 Time: 19:00 ’til late Venue: Bayside Kitchen, 8 Hackett Drive, Crawley, WA 6009 Dress code: Cocktail Attire (no jeans please) Cost: Social club members $30 Non-members $55 Ticket price includes two drinks tickets, food and a bus into town to continue the festivities!! To purchase tickets go to www.trybooking.com, click on ‘buy tickets’ and search for ‘Royal Perth ED […]

Blood Gas #24

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Describe and interpret this venous blood gas: History: A 56-year-old female found drowsy in bed in the evening after going to bed the night before.  Had last been seen the night before going to bed after an argument.  Took 30 x panadeine forte, 30 x combination antihypertensive (amlodipine 10mg / olmesartan 40mg / hydrochlorothiazide 30mg).  Brought in to rural hospital GCS 14. […]

Blood Gas #23

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Describe and interpret this arterial blood gas: History: A 92-year-old woman with a history of ischaemic heart disease presents with respiratory distress and an altered conscious state. She is currently on BPAP. pH 7.04 Na 139 mmol/L pCO2 92 mmHg K 5.7 mmol/L pO2 128 mmHg (FiO2 0.6) Cl 109 mmol/L HCO3 24 mmol/L Glucose 13.8 mmol/L Creatinine 243 μmol/L Lactate 1.4 mmol/L Hb […]

ECG #21

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Describe and interpret this ECG. [expand title=”Interpretation”]   Rate: Atrial = 280 min-1 Ventricular = 91 min-1 Rhythm: Atrial flutter with variable 2:1 and 4:1 block P waves:   Duration = 60 ms Amplitude = 0.1 mV PR interval: Duration =  120 ms Morphology = Normal QRS complex: Duration = 76 ms Axis = 68° Q Waves: III R wave progression: Normal […]

Blood gas #22

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Describe and interpret this venous blood gas: History: A 73-year-old woman with a background of COPD presents to the emergency department with a 2-day history of influenza-like symptoms, dyspnoea and drowsiness. She reports anorexia and reduced oral intake, but no other gastrointestinal symptoms. pH 7.35 Na 114 mmol/L pCO2 74 mmHg K 3.0 mmol/L pO2 56 mmHg Cl 69 mmol/L HCO3 40 mmol/L Ca 0.98 […]

ECG #20

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Describe and interpret the following ECG. [expand title=”Interpretation”] Rate: Atrial = 141 min-1 Ventricular = 141 min-1 Rhythm: Sinus tachycardia P waves:   Duration = 120 ms Amplitude = 0.1 mV PR interval: Duration =  200 ms Morphology = Normal QRS complex: Duration = 146 ms Axis = 138° Q Waves: Nil R wave progression: Normal LV Hypertrophy [Sokolow; SV1 + (RV5 […]