Welcome to our first podcast of 2025 on Dysbarism focussing on Decompression Illness.  We wanted to cover this important summer topic with a deep dive on Physics and pathophysiology which will make it a lot easier to understand and score high marks on potential SAQs.  As usual the accompanying SAQ document has potential questions that could be asked on this topic.  Go to  for the SAQ and cast notes.  ..read more

This final episode of 2024, we go into Xmas and New Year with a bang and discuss an important clinical presentation with a unique pathophysiology.  Treating the presenting features with the usual protocols may actually be counterproductive here.  Prompt diagnosis and recognition leads to a positive outcome for the patient in the emergency department itself.   Go to  for the SAQ and cast notes.  ..read more

In this episode, we cover a common ailment but with a paediatric qualifier - iron deficiency anaemia in a child.  We discuss what the red flags are for a child needing admission for anaemia (not what you would think) and differentials along with investigations.  Go to for the SAQ and cast notes.  ..read more

A highly relevant cast on a potential exam SAQ very relevant to the ED Physician.  How do you feel about such a patient? What are the distinguishing features from this compared to epileptic seizures? How do you assess and manage this condition? We delve into this and more in this cast that will elevate your exam prowess for the fellowship written and osce exam.  Go to artofemergency.com for the accompanying worked up SAQ sample ..read more

Today's cast is a short and sweet discussion on an exam question regarding Orbital compartment syndrome that was written by our podcast host.  This is a recurrently examined topic in both written and osce exams in the ACEM fellowship exams.  Please check out the relevant SAQ on artofemergency.com ..read more

Here we discuss the administration and logistical challenges faced by a Rural Emergency department in a question and answer table format for the same clinical scenario as Cast 24 - Haematological Malignancy.  For the Cast Notes go to artofemergency.com  ..read more

We discuss a question here on a patient presenting with a Haematological Malignancy delving into the differentials and their aetiologies (more possible questions and answers revealed in the SAQ document), clinical features, CXR and CT interpretation along with complications.   Please follow the link to the SAQ on  .  ..read more

In this episode, Kishan and I are back with a bang - a lot has happened over the last 12 months.  We discuss an SAQ on a special situation / complex case of Postpartum Psychosis.  This is designed to have 3 sub-questions totalling 12 marks.  We begin with identifying features on history followed by specific examination and management options.  This type of SAQ is one where if you have not come across the topic before, it will be difficult to score full marks.  Check out the full SAQ on www.artofemergency.com ..read more

We discuss a potential question here on Cord Syndromes delving into the different types of syndromes and their aetiologies (more possible answers revealed in the SAQ document), clinical features and prognosis.  We then progress potential questions into neurogenic vs spinal shock along with management of one such critically unwell patient.  The SAQ starts with an x-ray image interpretation so please follow the link to the SAQ on  . This cast was recorded in mid 2021 however the author has provided a modified version of this to the Feb 2022 Monash Trial OSCE.   ..read more

Here we discuss a Dermatology SAQ with a difference.  Starting with an image description and differential diagnoses, we enter into DRESS (Drug reaction with eosinophilia and systemic symptoms).   How would you differentiate between DRESS and SJS/TENS? How do you assess and manage an entity like this? And what do you do when a patient with a rash deteriorates?  For the SAQ with images, go to www.artofemergency.com ..read more