Welcome to a special edition of the Journal Club with Justin. This month we recorded live with a bunch of fantastic Broome junior doctors. Justin gate-crashed our local journal club to share his approach to “reading a paper” ( Video version here) and then we dived into a bunch of new papers… and one really ..read more

Welcome to another month of nerdy journal jam goodness. This month Justin has served up an eclectic collection of evidence, ethics and educational excellence. As always – we have the full PDFs liked below and you can read more deep thoughts over at First10EM where Justin likes to inconvenience a lot of electrons in his ..read more

Today I have a quick analysis of a recent randomised controlled trial that look at the efficacy of magnesium for the optimisation of intubation conditions in patients NOT receiving neuromuscular blockade. Here is the link to the paper: Intravenous magnesium sulfate improves orotracheal intubation conditions: A randomized clinical trial. Imen Zouche, Wassim Guermazi, Faiza Grati ..read more

Welcome to another episode of the Journal Club with Justin. This onth we look at a big trail that may change our airway approach in the ED… and then a pile of things that probably should not be in our practice at this point! So grab a cup, enjoy the nerdy debate and learn with ..read more

G’day all. I have been away in the remote jungles of Borneo for a few weeks which was amazing! Whilst I was off the grid my mate Dr Scott Weingart relesased a podcast that we recorded together. It is a case-based discussion about a super sick patient where my brain was stretched and I used ..read more

This post came about after a recent discussion amongst the Broome crew. We were reviewing a case of severe sepsis with refractory shock in which the receiving ICU team suggested we try IV methylene blue in addition to all the typical vasopressors and resuscitation tricks that we have in our small hospital. This was a new concept for many of us and inevitably the question was asked… is this something that we should do routinely? We treat more than our share of severe sepsis and have no access to other haemodynamic supports – so maybe this intervention is something that we should be doing sooner ..read more

Welcome to the June edition of the Journal Club for 2024. Justin and I discuss 7 papers covering a range of topics from securing IVCs in kids to intubating in space and the use of religious sham artifacts in middle-age, French “psychiatry”. Yep, it was a strange month on the pod! Enjoy. Articles linked below and podcast available on your favourite player or YouTube over at the First10EM channel. Do we need to intubate French drunkards in ED? Freund Y, Viglino D, Cachanado M, Cassard C, Montassier E, Douay B, Guenezan J, Le Borgne P, Yordanov Y, Severin A, Roussel M, Daniel M, Marteau A, Pescha ..read more

Another month and another batch of fascinating papers from the Morgenstern vaults. This month is heavy on dermatology for some reason… but still plenty of EBM, Crit care and laughs. Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. As always, the free PDF version of each of the papers discussed is linked below – so you can check it out for yourself. You could use these for your own local journal club. Don’t forget Justin has a stream on his Youtube channel that does include this podcast and his deeper dives into the data – HERE You can also check out some random ultrasou ..read more

Welcome to another episode of the Emergency Medicine Journal Club with Dr Justin Morgenstern. This month we cover a bunch of papers that look at a lot of topics and try to answer questions such as: Can I push Keppra safely? Does BP management in haemorrhagic stroke matter? How good is my intuition about PE diagnosis? Is it a good idea to keep geriatric patients in the ED overnight? (SPOILER: it is not), Does cryoprecipitate save lives in trauma? Should we X-ray children to diagnose constipation (SPOILER: We should not!). Are you being irradiated by the portable Xray machines in your ED? As alw ..read more

This is another lecture by the always amazing Dr Justin Morgenstern from the series of talks he delivered on his tour of Perth in September 2023. In this talk I challenged Justin to go on a very deep dive into the literature around the modern management of the massively bleeding trauma patient. What is the best way to resuscitate and replace all those blood products in these severely unwell people? This was a huge undertaking, Justin magaged to distill all the data into a talk that covers the science (scant as it may be) and the practical application of the numbers at the bedside (or roadside ..read more