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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Paracetamol PR for Febrile Seizures? October 30, 2018
Today I am reviewing a paper from the Paediatric literature that has created a small stir. Ever since I trained we have managed simple, febrile seizures with no active intervention other than symptom relief and watchfulness. The Paediatric party-line, based on some data, is that using anti-pyretic medications will not change the prognosis or rate of […] […]
Casey Parker
First10EM Journal Club: October 2018 October 28, 2018
Welcome back. It has been a long time between drinks as I have been away on long-service leave and enjoying life outside of Medicine. If you want to see a bit of my “work” that involves cameras and animals then please check out my other site: CaseyParker.org for a taste of the artistic side. I […]
Casey Parker
Old Doc, New Drug: Ticagrelor September 10, 2018
We all love to interfere with the clotting cascade in modern medicine, and this is a new way to do so! Yet another unpronounceable new drug. Ti-CAG-re-lor is the latest in the family of drugs [cyclopentyltriazolopyrimidines.. forget that word immediately ] that stop clots and start bleeding. I like to call it “tiger claw” and everyone around […] […]
Casey Parker

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 →
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 →

The combination of magnesium, riboflavin, and coenzyme Q10 for migraine prophylaxis
Gaul et al. J Headache Pain 2015;16:516. The evidence for combination magnesium, riboflavin, and CoQ10 is at best equivocal for migraine prophylaxis
Is oral orphenadrine beneficial for acute low back pain?
Friedman et al. Ann Emerg Med 2018 Mar;71(3):348-56 e5 Orphenadrine provides no benefit when used in addition to naproxen for acute low back pain
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.

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