Most Recent



    The ECG in toxicology. Cardiac electrophysiology is used to explain how to use the ECG to decide which poison your OD patient has taken, and how to guide treatment.

    Continue reading »



    This tutorial is a mix of various wide complex tachycardias in case based format. It explains some of the major wide fast and scary rhythms and how to differentiate and manage them.

    Continue reading »



    A 81 yo old lady presents feeling decidedly crook. She feels wobbly on her pins and has fallen over a few times in the least 3 days – thankfully on carpet and she’s uninjured. Her ECG is done and appears below   1. What is the diagnosis? 2. What is your stepwise management assuming the BP is 80/40

    Continue reading »

  • ECG week 6 syncope ANSWER

    ECG week 6 syncope ANSWER

              So this ECG is sinus rhythm and has broad complexes with RSR’ in V1 V2 consistent with RBBB. the PR interval is over 200ms (1 big square) so there is a first degree AV block as well. There is also a left axis deviation (V1 up aVF down). In the setting of RBBB and Left axis you should think about left anterior or posterior hemi/fascicular block  (LAFB, LPFB). There are rS complexes in II, III, […]

    Continue reading »

  • ECG 6: Syncope

    ECG 6: Syncope

    A 74 year old lady comes in after falling over at the pokies. She’d been scoffing a few shandies and got up for a wee, and was seen to collapse onto the carpet. She was awake a minute or so later and gradually improved by the time she came into the ED. She now looks well Have a squiz at this ECG. Does it help you to build a risk profile or even a cause for her fall??

    Continue reading »

  • Video vs Direct laryngoscopy

    Video vs Direct laryngoscopy

    A short video explaining the geometry, anatomy and technique differences between the hyperangulated video laryngoscope and the standard direct approach with macintosh blade for intubation. Simple explanations and pictures and lots of specific practice tips to avoid common pitfalls and improve safety and success

    Continue reading »

  • ECG number 5: chest pain…again!

    ECG number 5: chest pain…again!

    And now a subtle variation from ECG number 4 A 45 year old male smoker comes with with 1 hour of moderate central chest pain. What are the key features of this ECG? What would you do next? click on ECG to enlarge

    Continue reading »

  • ECG number 4: Chest pain

    ECG number 4: Chest pain

    A 48 yearold smoker presents with central chest discomfort for 2 hours. 1. Describe and interpret the ECG 2. Outline your management click on ECG to enlarge

    Continue reading »

  • ECG number 3: fitting

    ECG number 3: fitting

    A 28 year old female is BIBA with GCS 6 after being found fitting at her home. 1. What does this ECG tell you about the likely cause? 2. What should your immediate management include?  

    Continue reading »

  • Decisions Errors and Cognition Part 3: Avoiding Errors

    Decisions Errors and Cognition Part 3: Avoiding Errors

    The final tute of this 3 part series focuses on how to avoid making common errors! Direct youtube link here

    Continue reading »