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EM:RAP 2014 August Aussie Edition

Andy Buck, MBBS and Amit Maini, FACEM
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73:57
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EM:RAP 2014 August - Summary 1 MB - PDF

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Maria P. -

Andi and Amit, great Aussie edition. In regards to the paracetamol/codeine combinations is good to know about the non-responders and side effects, but for me the main think that should be mentioned on the podcast is the issue in paediatric patients. Painstop is such a common medication prescribed in Australian EDs and the literature is quite scary with death reports of kids discharged on paracetamol/codeine combinations, for which should not be prescribed in kids < 12 years, and breastfeeding mums. As an ED registrar I stopped using it, but I get asked a lot of times for it.

Kelly LE, Rieder M, van den Anker J, Malkin B, Ross C, Neely MN, Carleton B, Hayden MR, Madadi P, Koren G. More codeine fatalities after tonsillectomy in North American children, Pediatrics (2012) 129(5):e1-e5.

Racoosin, JA, Robertson, DW, Pacanowski, MA, Neilsen DR. New evidence about an old drug – risk with codeine after adenotonsillectomy, New England Journal of Medicine (2013) 368:2155-2157.

Great work guys!

Maria Perez
ED registrar
Melbourne

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Episode 155 Full episode audio for MD edition 275:00 min - 131 MB - M4AEM:RAP 2014 août Résumé en Francais Français 65:33 min - 60 MB - MP3EM:RAP 2014 August Aussie Edition Australian 73:57 min - 102 MB - MP3EM:RAP 2014 August Canadian Edition Canadian 30:52 min - 43 MB - MP3EM:RAP 2014 Augusto Resumen Español Español 83:27 min - 77 MB - MP3EM:RAP 2014 August MP3 359 MB - ZIPEM:RAP 2014 August - Summary 1 MB - PDFEM:RAP 2014 August Board Review Questions 379 KB - PDFEM:RAP 2014 August Board Review Answers 421 KB - PDF

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