Monthly Archives: March 2013

2010 Clinical Care Guidelines on the management of otitis media in Aboriginal and Torres Straits Islander populations

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First10EM Journal Club: July 2018 July 19, 2018
Good day listeners and readers alike. Another episode of the Journal Club with Justin Morgenstern is out now. The papers are all free and linked below. You can also go over tot he First10EM blog and read the in-depth analysis from my favourite EBM nerd… This month we cover bougies, brain-bleeds and the best Paeds […]
Casey Parker
The Best Central Line Ever… Tribute June 21, 2018
The best central line ever….. tribute Placing a central line is one of those procedures that can be done in many ways. The last 10 years or so has seen an evolution of the kit, ultrasounds and techniques… so my current set up and routine bears little resemblance to that when I trained. This article […]
Casey Parker
Rural Anaesthesia Journal Club: with Alex and Mel June 8, 2018
This is the second installment of the Rural Anaesthesia Down Under (RADU) Journal Club. In this episode, I am joined by Drs Alex Harris and Melanie Little – both local, fellow Broome GP Anaesthetists. We got together and had a chat about 5 papers covering 4 topics: Perioperative anaphylaxis (the NAP6 Audit) Dose adjustment for spinal […]
Casey Parker

Why I am opting out of MyHealthRecord – for now July 21, 2018
The issue of the MyHealthRecord been troubling me. I lack the eloquence to express my concerns sometimes, so please bear with me. I’ve also thought long and hard about this issue and been in active discussion with may leading doctors in Australia on this via backchannels. It is an important topic and one that impacts […] The post Why I am opting out of MyHe […]
Tim Leeuwenburg
Build your own SALAD sim May 12, 2018
So ever since an online collaboration with James Du Canto and others in the FOAMed community, I’ve been refining the SALAD sim trainer For those not ‘in the know’ the SALAD technique is designed to manage intubation of the trachea in the face of massive airway contamination e.g. haematemesis or regurgitation of stomach contents Not […] The post Build your ow […]
Tim Leeuwenburg
Paralysed by indecision May 2, 2018
One of the defining skills of being a doctor is the need to make decisions, sometimes with limited information and under significant time pressure. As I’ve matured in my career, I’ve realised that most of what I was taught in medical school was just plain wrong. The ongoing challenge has been to identify WHICh bits […] The post Paralysed by indecision appea […]
Tim Leeuwenburg

Post-truth therapy: alternative medicine with alternative facts
Last week's Senate bill gives the green light to a thousand unsubstantiated alternative health claims. An advertiser's smorgasbord. Continue reading →
Drug seeker basted me like a turkey
Some people excel at obtaining prescription drugs to sell. Even the crustiest doctors sometimes get done over like a dinner. Here's my turkey story. Continue reading →
48-second GP consultations
GPs in some countries have a fleeting moment to do what takes me 15 minutes. Can less be more? Continue reading →
‘Junior’ doctors: what’s in a label?
Is the term 'junior doctor' an insult? Maybe not today, but it will be tomorrow. That's how these labels roll. Continue reading →
GP Sceptics podcast 12: Doctors’ resilience
We grill the resilient Dr Genevieve Yates about what it takes for doctors to thrive in a tough environment. Work-life balance, as it turns out, might be a false dichotomy. Continue reading →

Do statins prevent dementia?
McGuinness et al. Cochrane database of systematic reviews 2016 Jan 4(1):CD003160 Statins should not be used as a prophylaxis against dementia, as the only indication. The limited evidence from high quality randomised trials suggests no effect.
Does vitamin B3 (nicotinamide) prevent non-melanoma skin cancer?
Chen AC, et al. NEJM 2015 Oct 22;373(17):1618-26 Nicotinamide (vitamin B3) has a small-modest effect as prophylaxis against non-melanoma skin cancers
Do oral sweets reduce injection pain in children?
Harrison et al. Cochrane database of systematic reviews 2015 May 5(5):CD008408 The effect of oral sweets on injection pain in children is unclear. Much of the data were from small studies with conflicting results. There is better evidence for other approaches (e.g., distraction).

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