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: January 2020 January 15, 2020
It is a New Year and Justin is back on the podcast to discuss another series of papers that range from serious science to silly stuff. We had a great time recording this podcast, so many things learned. Hope you enjoy it too. The papers as ever are below in free PDF format and the […]
Casey Parker
Lessons Hard Learned: a Reflection on Error January 7, 2020
Dr Peter Fritz is an ED Physician and amazing landscape photographer. (Check out his site) Many of you might know him as the co-author of the original Vortex paper. Peter has allowed me to use this image of a solo mangrove at high tide in Broome titled “Alone in the Fog”. I think it perfectly […]
Casey Parker
Possible Pyloric Stenosis December 10, 2019
If you work in a kids ED then you probably see babies who are tagged as “possible PS” when they present with large volume vomiting. Pyloric stenosis is not a rare disease, yet it is much less common than the alternative diagnoses that present in small babies with vomiting… UTI, gastroenteritis, sepsis, reflux / overfeeding, […]
Casey Parker

My perfect medical statistics day
I dedicated one day in clinic to try to treat every individual as a statistic. My outcomes were brilliant. The individuals weren't too happy. Continue reading →
GP Sceptics podcast 13: Nurses’ conflicts-of-interest
It turns out pharmaceutical and device companies court nurses as well as doctors. Podcast guest Quinn Grundy is on the case. Continue reading →
A textbook case walked into the room
Do salmon cause salmon-pink rashes? Strawberries cause strawberry tongues?Do textbook cases of rashes even exist outside textbooks? Continue reading →
Vitamins: mostly harmless, mostly profitable
I’m beginning to suspect a connection between mostly harmless and mostly useless. Continue reading →
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 →

Palmitoylethanolamide (PEA) as treatment for knee osteoarthritis pain
Steels E, et al. Inflammopharmacology 2019 Jun;27(3):475-85. Palmitoylethanolamide (PEA) cannot be recommended as a routine therapy for knee osteoarthritis in Australian primary care,
Duloxetine as treatment for knee osteoarthritis pain
Osani et al. Korean J Intern Med 2019 Mar 15 Duloxetine (60-120 mg daily) appears to have a small to moderate beneficial effect on knee osteoarthritis pain and function at 3 months, compared to placebo.
Isopropyl alcohol nasal inhalation for nausea in adults
Beadle et al. Ann Emerg Med 2016 Jul;68(1):1-9 e1. Nasal inhalation of isopropyl alcohol provides clinically important relief from acute nausea, of at least a short duration, in community ambulatory patients

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