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Medcast news and blog

Managing pacing failure in post-operative cardiac surgery: causes and solutions

Wayne is a 68-year-old post-CABG patient with third-degree heart block on temporary epicardial pacing who suddenly experiences a bradycardia and hypotension.

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Ling has left hemiparesis and is aphasic following stroke, what comes next?
Ling has left hemiparesis and is aphasic following stroke, what comes next?
Jenny Browne

67-year-old Ling, recently relocated from China, was admitted to the stroke unit post-thrombolysis for an ischaemic stroke. When should early stroke rehabilitation begin and what should this entail?

Diabetic Emergencies - Hypoglycaemia
Diabetic Emergencies - Hypoglycaemia
Susan Helmrich

Diabetic emergencies typically arise from extreme fluctuations in blood glucose levels. The two most common emergencies are hypoglycaemia and hyperglycaemia.

Minimising risk of CLABSI - Standard or Surgical ANTT®?
Minimising risk of CLABSI - Standard or Surgical ANTT®?
Jenny Browne

Antiseptic Non-Touch Technique (ANTT®) plays a critical role in managing Central Venous Access Devices (CVADs) to prevent infections. While both standard and surgical ANTT approaches aim to maintain asepsis during procedures, they differ significantly in their application and outcomes. Understanding these distinctions ensures healthcare providers optimise infection control and patient safety in wound care and CVAD management.

Emergencies in General Practice
Emergencies in General Practice
Dr Simon Morgan

Head injuries in children are common in Australian general practice and emergency departments, ranging from minor to life-threatening. The PREDICT Guideline offers evidence-based support for managing these injuries, providing a clear algorithm for triage, imaging, and follow-up.

The ABCDE of post resuscitation care
The ABCDE of post resuscitation care
Jenny Browne

Following 10 minutes of CPR and two shocks for VT, Nadia shows signs of life. After the third rhythm check, with respiratory effort noted, the defib was disarmed using the COACHED sequence. What is the next step in determining the plan of care for Nadia?

Does Hafiz need a referral for allergy testing?
Does Hafiz need a referral for allergy testing?
Grace Larson

Hafiz, a 13-month-old, developed a rash and swelling around their mouth after eating peanut butter, displaying signs of a potential IgE-mediated food allergy. What are the next steps for Hafiz?

Duc presents complaining of slurred speech, should you do an ABCD²?
Duc presents complaining of slurred speech, should you do an ABCD²?
Dr Simon Morgan

Duc, a 57 year old accountant, presents to you one afternoon with a recent episode of slurred speech...

High Performance CPR
High Performance CPR
Susan Helmrich

Successful resuscitation attempts rely on the optimisation of cerebral and coronary perfusion. For this to occur it is important to work like a NASCAR pit crew and deliver high performance CPR.

Obstetric Emergencies, can you help Lauren?
Obstetric Emergencies, can you help Lauren?
Jenny Browne

You are working in ED and have received a call from Pathology regarding blood results that you took earlier on Lauren, who is 18 years old and 30 weeks pregnant with her first child. Discover the diagnosis behind Lauren's abnormal blood results and learn the symptoms, risks, and management of this life-threatening obstetric emergency.