Art of Emergency Medicine

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

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

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  .

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

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.

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

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

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.

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 the HEART score - go to www.artofemergency.com

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