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How to add a scrollable CT image stack to a Powerpoint slide

Ever wanted to add a scrollable set of CT images to a presentation but didn’t know how? For ages I’ve been trying to figure out how to get CT images on to a Powerpoint presentation in a way that allows scrolling through the image stack like you can at work. One method is to add […]

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Osler – Australasian Emergency Trainees Group

Osler is a new system designed and built by Queensland based Intensivist Todd Fraser that is going to revolutionise how we go about our training, credentialing, procedure logging and more. Osler incorporates multimedia, interactive and patient focused learning resources to build your skills and knowledge as well as enabling you to record, measure and improve […]

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To Have & To Hold: A Medical App Synopsis – reblog from Doctors Writing

I was lucky enough to chair the Social Media and Technology session at the ACEM2015 conference in Brisbane last week, and one of the speakers was Dr Viet Tran. He delivered a great synopsis of useful medical apps, and then posted it on his excellent site, Doctors Writing: To Have & To Hold: A Medical […]

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Radiopaedia Emergency Radiology Course

Off the back of the very successful trauma radiology course last year, Andrew Dixon and Frank Gaillard from Radiopaedia and Andy Buck (from EDExam and the ETM Course) are presenting a new, one day, Emergency Radiology Course on Saturday May 16th at the Alfred Hospital in Melbourne.  This promises to be a great course that […]

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ACEM Digital Media on vimeo – a great new ED training resource

In the recent spirit of modernisation at the College, ACEM has started a vimeo channel.  Here you will find an array of video material, some will be helpful for your training, some is of general interest, and other content will give you an insight the range of activities going on at ACEM that you might […]

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The Cap Has Been Scrapped (for now)!

The federal government (in a likely pre-election stunt) has decided to defer the proposed $2000 cap on self-education expense tax deductions for 12 months.  Regardless of the reason, this is a victory for common sense, and is pro-education, so I’m very happy about it. As an ACEM trainee, your annual self-education expenses are well above […]

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Injury description in the ED

In response to some discussion on Twitter this morning, I’ve just written a post over at the Emergency Trauma Management Course blog about injury description in the ED. Whilst not technically exam related, I still think this will benefit ED Registrars who call every open wound a “lac”. There’s some slightly gory photos, and some […]

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Emergency Trauma Management Blog & Podcast now live!

Over at Emergency Trauma Management Amit & I have been busy putting together a new blog and podcast that covers the Emergency Department management of trauma, as a free open access educational component of the ETM Course. April seems to be “trauma airway month”, with a couple of great surgical airway videos to check out […]

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Emergency Medicine Revision Notes

Emergency Medicine Revision Notes, put online by Dr Adrian Bonsall, is a great free resource for those sitting the ACEM Fellowship Exam. These notes have been around for a while, and are tailored to the main topics in the exam. They’ve been extensively revieed and updated in 2012 so they should contain some more up […]

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Southern Health Practice ACEM Fellowship Written Exam, June 19th 2013

A quick note for people sitting the 2013.2 (August 2013) ACEM Fellowship Exam. There is a practice written exam, organised by Southern Health in Melbourne, on June 19th (at ACEM Headquarters in Melbourne), with a feedback session on July 3rd at Monash Medical Centre in Clayton. I must stress that this practice exam should ONLY […]

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FOAMed at SMACC, vital for ACEM Fellowship Exam Candidates

I just returned from the SMACC Confernence in Sydney, and will post some updates in the coming weeks about content I think is relevant to EDExam readers. One of the over-arching themes of the conference is the concept of Free Open Access Medical Education (FOAMed), as pioneered by LifeInTheFastLane founder Mike Cadogan. Doug Lynch from […]

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SMACC 2013: Social Media & Critical Care Conference – this week in Sydney!

This week the most ground breaking, game-changing, modern, international medical conference ever is happening. The SMACC (Social Media and Critical Care) Conference will be held in Sydney from March 11th-13th. With such ED and Critical Care Luminaries as: Scott Weingart (EMCrit) Minh Le Cong (PHARM) Cliff Reid ( The Life In The Fast Lane Crew […]

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Fellowship Exam Textbooks now on Kindle

Just a quick reminder that some of the recommended Fellowship Exam textbooks have become available on Amazon’s Kindle. Previously books like Tintinalli, Rosen, Cameron and the Roberts Procedures book were giant tomes, chained to bookshelves in ED’s, or propping up people’s desks at home (mine made excellent door-stops). Well now you can carry all of […]

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New STEMI Diagnostic Criteria from the ACCF/AHA

Here’s a snippet from the December 2012 release of the new 2013 AHA STEMI Management Guidelines, which has a couple of subtle changes to the diagnostic ECG criteria for STEMI, which may come up in the exam.  You can access the full guideline here:

“STEMI is a clinical syndrome defined by characteristic symptoms of myocardial ischemia in association with persistent electrocardiographic (ECG) ST elevation and subsequent release of biomarkers of myocardial necrosis. Diagnostic ST elevation in the absence of left ventricular (LV) hypertrophy or left bundle-branch block (LBBB) is defined by the European Society of Cardiology/ACCF/AHA/World Heart Federation Task Force for the Universal Definition of Myocardial Infarction as new ST elevation at the J point in at least 2 contiguous leads of ≥2 mm (0.2 mV) in men or ≥1.5 mm (0.15 mV) in women in leads V2–V3 and/or of ≥1 mm (0.1 mV) in other contiguous chest leads or the limb leads (7). The majority of patients will evolve ECG evidence of Q-wave infarction. New or presumably new LBBB has been considered a STEMI equivalent. Most cases of LBBB at time of presentation, however, are “not known to be old” because of prior electrocardiogram (ECG) is not available for comparison. New or presumably new LBBB at presentation occurs infrequently, may interfere with ST-elevation analysis, and should not be considered diagnostic of acute myocardial infarction (MI) in isolation (8). Criteria for ECG diagnosis of acute STEMI in the setting of LBBB have been proposed (see Online Data Supplement 1). Baseline ECG abnormalities other than LBBB (e.g., paced rhythm, LV hypertrophy, Brugada syndrome) may obscure interpretation. In addition, ST depression in ≥2 precordial leads (V1–V4) may indicate transmural posterior injury; multilead ST depression with coexistent ST elevation in lead aVR has been described in patients with left main or proximal left anterior descending artery occlusion (9). Rarely, hyperacute T-wave changes may be observed in the very early phase of STEMI, before the development of ST elevation. Transthoracic echocardiography may provide evidence of focal wall motion abnormalities and facilitate triage in patients with ECG findings that are difficult to interpret. If doubt persists, immediate referral for invasive angiography may be necessary to guide therapy in the appropriate clinical context ((10),11). Cardiac troponin is the preferred biomarker for diagnosis of MI”.


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Book Review: Emergency Medicine MCQs

A new book has been released by a group of FACEMs to help with the MCQ component of the ACEM Fellowship exam.  Emergency Medicine MCQs is a new book of MCQs specifically written to address all of the components of the core curriculum.  On average there are around 20-40 MCQ’s per topic, (more for the expert level/common topics, less for the low level topics), and a lot of effort has been made to ensure answers are detailed, evidence based (from recommended texts, journals and web based resources), and contain core knowledge in an easy to understand format.

There is also apparently an an app on the way, which will have 180 random MCQ’s (arranged into 3 x 60 question real exam format MCQ papers), which will be very useful as well.

Available at Amazon and Fishpond, and for those that use a kindle you can click this link: Emergency Medicine MCQs (Kindle Edition)

MCQs are hard to prepare for, so any help you can get for this notoriously difficult section the better, so check out this book and let us know what you think. And remember to log in to our members area and read my article on studying for and answering MCQ’s.

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