Monthly Archives: March 2013

On Free Will, Consciousness, Attention & Gestalt June 21, 2017
DasSMACC is just a few days away. So to get you thinking I have decided to post this rambling train of thoughts that has been brewing for a while in the recesses of my brain. In honour of our German hosts – this one is an exploration of the concept of Gestalt with a wide […]
Casey Parker
Clinical Case 141: Saturnine Palsy June 6, 2017
I know – it is supposed to be a Saturday night palsy, but as you know patients rarely bother to read the textbook before injuring themselves or falling victim to circumstance. I was working on a Monday recently, which is weird as I try to avoid Mondays. A 23 year old woman presented to ED with […]
Casey Parker
First10EM Journal Club: May 2017 May 28, 2017
We are back with another set of papers to dissect, discuss and digest. Justin and I have been working on a few big projects and are in full prep for the upcoming DasSMACC meeting in Berlin. We managed to skip April, but we are planning something a little special for June in Berlin. If you […]
Casey Parker

KIDOCS

Community CPR, AEDs & Out-of-Hospital-Cardiac Arrests May 6, 2017
The value of Bystander CPR and Public Access AED use is shown nicely in this NEJM article http://www.nejm.org/doi/full/10.1056/NEJMoa1601891 What does this mean? I think it means that a sensible approach to out-of-hospital cardia arrest is NOT about hospitals and helicopters (although post ROSC transport and critical care is vital!) Rather, we need to ensure […]
Tim Leeuwenburg
Resus At The Park December 24, 2016
Hi all I know you’re in the midst of last-minute Christmas shopping and feverish planning, but I wanted to ensure that this got to you so that at least if you are sitting down over the vacation with a full stomach and a spare 5 minutes, you could perhaps forward the email onto your departments, contacts […]
Tim Leeuwenburg
SALAD on the beach December 23, 2016
It’s hotting up ‘down under’ and we are planning to spend summer on the beach as is traditional at Xmas/New Year. It is going to be a hot one … Adelaide (nearest city) is supposed to be the hottest city in the world for Xmas Day! Meanwhile plans for #DAS smacc airway workshop are shaping […]
Tim Leeuwenburg

Tamiflu: an expensive lesson in panic stockpiling
The removal of Tamiflu from the WHO "core medicines" list is an uncomfortable reminder of the $4 billion we spent stockpiling it during the 2009 swine flu. What on earth were we thinking? Continue reading →
GP Sceptics podcast 10: GPs at the Deep End
Dr Tim Senior discusses working with disadvantaged populations. Justin discusses anti-ageing (for mice). Liz cooks up her first ever special source. Continue reading →
Pain clinics: how did such a fresh idea turn sour?
Pain clinics. In theory, a multi-disciplined team skilled at helping those with chronic pain wean off high-dose, addictive medications. In practice: "More drugs, anybody?" Continue reading →
Not just a GP – I’m your specialist in uncertainty
I specialise in managing chaos. I am the lion who watches, the uncertainty whisperer. Just a GP, really. Continue reading →
GP Sceptics podcast 9: The Environment
Dr George Crisp from Doctors for the Environment Australia tackles the big questions. Are individual health interventions as effective as population ones, and should Justin wear lycra? Liz isn't convinced. Continue reading →

NSAIDs as treatment for uncomplicated urinary tract infections
Gagyor et al. BMJ 2015 Dec 23;351:h6544. NSAIDs should not be recommended as a first line treatment for uncomplicated UTIs in women. Compared to empirical antibiotics, women experienced a significantly greater burden of UTI symptoms.
Duct tape to treat cutaneous warts
Kwok CS, et al. Cochrane database of systematic reviews 2012 Sep 12(9):CD001781 Duct tape should not be routinely recommended as wart therapy. There is no compelling evidence that duct tape is more effective than placebo.
Milk thistle for chronic hepatitis B
Rambaldi et al. Cochrane database Syst Rev 2007 Oct 17(4):CD003620 Milk thistle products cannot be recommended for chronic hepatitis B. Only limited research evidence of unclear/poor quality exists.

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