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

In part 2 of our discussion with FACEM Dr. Jonathan Henry and his experience in a resource limited setting in Vanuatu, we cover ways one can advocate for patients both clinically as well as health promotion, barriers to care and social determinants of health using examples.  We go through some amazing tips, tricks and hacks that he has picked up during his work (think MacGyver!).   Finally, we go through some words of wisdom important for those who may one day want to follow their heart and practice emergency medicine in a resource limited setting.  For shownotes, visit ..read more

In Part 1 of this 2 part episode, we have another special guest Dr. Jonathan Henry FACEM who provides a fascinating discussion on global emergency care and resource limited settings using his experience in Vanuatu.  We are so reliant on gold standard top line care in Australia, that we forget the basics and alternatives.  How would you treat a life threatening emergency with limited resources in a different country? We use a case based approach using a potential fellowship written SAQ in the Admin style.  Go to for the shownotes.   ..read more

In this special episode, Cardiologist Dr. Manuja Premaratne joins us to answer many burning questions in cardiac chest pain risk stratification.  As the Head of Cardiac Imaging at Peninsula Health, he is uniquely placed to discuss risk stratification in chest pain patients.  The varied discussion points in this episode include - HEART score, When to use modalities like treadmill, mibi vs CTCA, Troponin rise in Renal failure, Stent restenosis, amongst other points very relevant to ED Registrars.  This will immediately improve your practice at the bedside!! For the attached SAQ on ..read more

A very extensive in-depth cast on a Stroke SAQ - the initial 5 part SAQ coming upto 23 marks with several alternative questions.  We cover a combination of imaging, latest treatment philosophies and complications in both list and table form.  Check out the accompanying SAQ on   ..read more

In this cast, we cover an exam question on conditions relating to the Paediatric Bowel where we consider how to answer on differentials, imaging and management.  The accompanying SAQ on is an example of how one condition or presentation can be used to test your broad knowledge in a specific patient population.   ..read more

A classic SAQ for the ACEM Fellowship Written Exam - something that needs to be understood and answered at a high level.  We discuss also a case of diagnostic bias relating to a dissection which makes it interesting.  Check out the SAQ and Xray images on www.artofemergency.com ..read more