Casey Parker
@broomedocs.bsky.social
Rural Generalist, West Australia . #Emergency. #Critical Care. Anaesthesia. Paediatrics. #Ultrasound. Evidence-based medicine #foamed #dadjoker Broomedocs.com best care, anywhere
Latest EBM podcast with @first10em.bsky.social out now broomedocs.com/2026/06/firs... PE, trauma, COVID, sepsis and Neanderthal dentistry
First10EM Journal Club: June 2026 - Broome Docs
Welcome to the June 2026 edition of the podcast. We are tackling all of our favourite subjects - PE, trauma, stroke, COVID, contrast controversies and
broomedocs.com
Welcome to the June 2026 edition of the podcast. We are tackling all of our favourite subjects - PE, trauma, stroke, COVID, contrast controversies and prehistoric dentistry. What more could you ask for in a podcast?
First10EM Journal Club: June 2026
Welcome to the June 2026 edition of the podcast. We are tackling all of our favourite subjects - PE, trauma, stroke, COVID, contrast controversies and prehistoric dentistry. What more could you ask for in a podcast? SO have a listen, read the free PDFs below, and you too could save a life or at least relieve your friend's dental pain with some stone tools.
broomedocs.com
ARISE FLUIDS TRIAL by @ANZCIS - what does a negative trial of fluids mean in 2026? Answer here: broomedocs.com/2026/06/aris...
ARISE-FLUIDS has ... Arisen - Broome Docs
ARISE FLUIDS: a “negative” trial that might just be telling us something useful Peake SL, Macdonald SPJ, et al; the ARISE FLUIDS Investigators, the ANZICS
broomedocs.com
ARISE-FLUIDS has … Arisen ARISE FLUIDS: a “negative” trial that might just be telling us something useful Peake SL, Macdonald SPJ, et al; the ARISE FLUIDS Investigators, the ANZICS Clinical Trials Group, and the ACEM Clinical Trials Network. Vasopressors or Fluids in Early Septic Shock. N Engl J…
ARISE-FLUIDS has … Arisen
ARISE FLUIDS: a “negative” trial that might just be telling us something useful Peake SL, Macdonald SPJ, et al; the ARISE FLUIDS Investigators, the ANZICS Clinical Trials Group, and the ACEM Clinical Trials Network. Vasopressors or Fluids in Early Septic Shock. N Engl J Med. Published online June 11, 2026. DOI: 10.1056/NEJMoa2516225. (FREE PDF COPY HERE) We’ve spent fifteen years slowly walking back the idea that septic shock is a problem you solve by drowning it.
broomedocs.com
Rant: Lactate is your friend It’s 0200 in a rural ED. Sixty-three-year-old bloke, let’s call him Gary. He’s come in feeling a bit flat, mildly short of breath, no fever, no rigors. He looks okay. Obs are almost okay — HR 98, BP 118/76, RR 18, sats 96% on room air, temp 37.4. You’re thinking COPD…
Rant: Lactate is your friend
It’s 0200 in a rural ED. Sixty-three-year-old bloke, let’s call him Gary. He’s come in feeling a bit flat, mildly short of breath, no fever, no rigors. He looks okay. Obs are almost okay — HR 98, BP 118/76, RR 18, sats 96% on room air, temp 37.4. You’re thinking COPD exacerbation, maybe early LVF. You’re not thinking sepsis. Then the VBG comes back.
broomedocs.com
broomedocs.com/2026/06/the-... Re-release of one of my favourite lectures- a tour through history, neurobiology and the modern application of empathy at the bedside It’s a fun talk on a serious topic
The Science of Empathy - Broome Docs
This is a re-release of one of my favourite lectures. When I was invited to speak at SMACC Gold 2015 I was given a free range to speak about whatever I
broomedocs.com
The Science of Empathy This is a re-release of one of my favourite lectures. When I was invited to speak at SMACC Gold 2015 I was given a free range to speak about whatever I desired. Daunting, to be given this choice as it is easy to do something easy, something that has hard science... so I…
The Science of Empathy
This is a re-release of one of my favourite lectures. When I was invited to speak at SMACC Gold 2015 I was given a free range to speak about whatever I desired. Daunting, to be given this choice as it is easy to do something easy, something that has hard science... so I chose the difficult path of trying to sell the concept of…
broomedocs.com
More on invasive PE management The abstract says HI-PEITHO demonstrates benefits - but if you read it yourself, you will probably disagree #FOAMed
HI-PEITHO: More negative data on invasive therapy for higher risk PEs
Only a few weeks have passed since I last wrote about negative trials for invasive therapy in pulmonary embolism. You wouldn’t think I would need to spend more time talking about negative research, but the HI-PETHO trial is different, because it is reported as positive, and some people seem to agree. Let’s review the details so you don’t fall into the same trap.
first10em.com
Subcutaneous insulin for treating diabetic ketoacidosis (DKA). A study done at @sunnybrookhsc.bsky.social thesgem.com/2026/05/sgem... #FOAMed
Rant: Imaging Women in Trauma It's 0200. You're the only doctor in a hospital five hours from the nearest trauma centre. A 24-year-old woman arrives via ambulance after a high-speed rollover. GCS 14. HR 118. BP 94 systolic. Seatbelt sign across the abdomen. She says she might be pregnant — maybe…
Rant: Imaging Women in Trauma
It's 0200. You're the only doctor in a hospital five hours from the nearest trauma centre. A 24-year-old woman arrives via ambulance after a high-speed rollover. GCS 14. HR 118. BP 94 systolic. Seatbelt sign across the abdomen. She says she might be pregnant — maybe six weeks, maybe not at all. She's not sure. And somewhere in the room, the hesitation begins.
broomedocs.com
Substance use disorder is one of the most lethal & treatable illnesses we see in the ED, yet stigma still worsens outcomes In this podcast: • trauma-informed care • person-first language • pain management • peer navigators • systems change emergencymedicinecases.com/substance-us... #FOAMed
Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change
Emergency physicians pride themselves on recognizing and treating life-threatening illness under pressure. Yet one of the most lethal, common, and treatable conditions presenting to our EDs still ofte...
emergencymedicinecases.com
Infographic for the CRAFFT Study from Dr. @kirstychallen.bsky.social. #SGEMPeds buff.ly/heXxZx2 @thesgem.bsky.social @andrewjtagg.bsky.social #FOAMed #PedSky #MedSky #OrthoSky
Latest video lecture from Broome SSEM with our favourite nurse @kaneguthrie.bsky.social #FOAMed broomedocs.com/2026/05/ssem...
SSEM 2025: Kane Guthrie / Refractory Shock - Broome Docs
Another great talk from the SSEM Conference in Broome. My co-conspirator (organiser) Mr Kane Guthrie delivered a chat on his favourite topic - refractory
broomedocs.com
SSEM 2025: Kane Guthrie / Refractory Shock Another great talk from the SSEM Conference in Broome. My co-conspirator (organiser) Mr Kane Guthrie delivered a chat on his favourite topic - refractory shock. This is a talk about what we need to know and do in the patient in Resus that doesn't get…
SSEM 2025: Kane Guthrie / Refractory Shock
Another great talk from the SSEM Conference in Broome. My co-conspirator (organiser) Mr Kane Guthrie delivered a chat on his favourite topic - refractory shock. This is a talk about what we need to know and do in the patient in Resus that doesn't get better with the usual first line therapies. If this interests you then you should also check out Justin's post on "When Norepinepherine isn't working..."
broomedocs.com
Bayes 2026: a diagnostic AI tool! broomedocs.com/2026/05/diag... #foamed @thesgem.bsky.social @first10em.bsky.social
Diagnosis: 2026 - Broome Docs
In this video I go over my old SMACC Dublin Diagnsotics talk and revisit the Bayesian reasoning that lays at the heart of what we do in the ED. If you
broomedocs.com
Diagnosis: 2026 In this video I go over my old SMACC Dublin Diagnsotics talk and revisit the Bayesian reasoning that lays at the heart of what we do in the ED. If you ned to go back and listen to the original talk, its worth the visit - all you need to know about Bayes' theorum for ED docs in 22…
Diagnosis: 2026
In this video I go over my old SMACC Dublin Diagnsotics talk and revisit the Bayesian reasoning that lays at the heart of what we do in the ED. If you ned to go back and listen to the original talk, its worth the visit - all you need to know about Bayes' theorum for ED docs in 22 minutes!
broomedocs.com
The May 2026 Journal club podcast with @first10em.bsky.social is out now broomedocs.com/2026/05/firs... #foamed
First10EM Journal Club: May 2026 - Broome Docs
The May edition of the Journal Club is out now! This is a long podcast, but packed full of fun EBM and some practice changing papers and we even manage to
broomedocs.com
First10EM Journal Club: May 2026 The May edition of the Journal Club is out now! This is a long podcast, but packed full of fun EBM and some practice changing papers and we even manage to escape our usual evidentiary nihilism. Links are in the description below to the PDFs and you can listen on…
First10EM Journal Club: May 2026
The May edition of the Journal Club is out now! This is a long podcast, but packed full of fun EBM and some practice changing papers and we even manage to escape our usual evidentiary nihilism. Links are in the description below to the PDFs and you can listen on your favourite app or just watch the video on Youtube…
broomedocs.com
Avalanche Survival in Broome So that is the most ridiculous title that I have ever employed on this blog. Avalanches... Broome.. has Casey finally lost the plot? Well, maybe - but I blame Dr Morgenstern. He sent me an article to review for this month's Journal Club and it forced me down a deep…
Avalanche Survival in Broome
So that is the most ridiculous title that I have ever employed on this blog. Avalanches... Broome.. has Casey finally lost the plot? Well, maybe - but I blame Dr Morgenstern. He sent me an article to review for this month's Journal Club and it forced me down a deep rabbit hole into a snowy academia that I never knew existed.
broomedocs.com
What would Weingart do in a small remote ED a thousand miles from an ICU? Find out here: broomedocs.com/2026/04/dr-s... #emimcc
Dr Scott Weingart: Rural Resus Redux - Broome Docs
This talk is from the Spring Sessions in EM conference in Broome last year. I invited my mate Scott Weingart to "virtually work in Broome ED" for a shift.
broomedocs.com
Dr Scott Weingart: Rural Resus Redux This talk is from the Spring Sessions in EM conference in Broome last year. I invited my mate Scott Weingart to "virtually work in Broome ED" for a shift. This was a lot of fun - we talk about a lot of the minutiae of realistic Resus in a rural ED and how we…
Dr Scott Weingart: Rural Resus Redux
This talk is from the Spring Sessions in EM conference in Broome last year. I invited my mate Scott Weingart to "virtually work in Broome ED" for a shift. This was a lot of fun - we talk about a lot of the minutiae of realistic Resus in a rural ED and how we can translate the evidence to make things work in our practice. There are many pearls in here - everything from when to tube to how to move in a resource limited environment. Enjoy!
broomedocs.com
PEs, POOs, plasminogen and peripheral practicalities
PEs, POOs, plasminogen and peripheral practicalities
Casey Parker | BroomeDocs | April 2026 The modern management of proper pulmonary embolism (not the common little ones) has been evolving rapidly in the last decade. The range of acronym-based trials can seem a little dizzying. We now have PERT teams with a quiver of expensive catheters to shoot into our patients pulmonary vessels. However, we need to know what the data tells us.
broomedocs.com
Dr Steve Dunjey: Tips and Tricks from 30 years on the front lines This is another talk from the SSEM Conference in Broome in October 2025. Prof. Steve Dunjey is one of the god-fathers of ED medicine in WA and a fantastic teacher, mentor to generations of ED docs. This talk contains a lot of pearls…
Dr Steve Dunjey: Tips and Tricks from 30 years on the front lines
This is another talk from the SSEM Conference in Broome in October 2025. Prof. Steve Dunjey is one of the god-fathers of ED medicine in WA and a fantastic teacher, mentor to generations of ED docs. This talk contains a lot of pearls and some big picture strategies for the young EM doc.
broomedocs.com
@andrewjtagg.bsky.social Hey Andy We just featured your qualitative paper on ED food on the podcast first10em.com/research-rou... #foamed
Research Roundup - March 2026 - First10EM
Classic medicine: running high cost RCTs that are too small to give real answers Préterre C, Gaultier A, Obadia M, Vignal C, Mourand I, Plat J, Sablot D, Gaudron M, Rodier G, Godeneche G, Urbanczyk C,...
first10em.com
First10EM Journal Club: March 2026 Welcome back to another instalment of the Journal Club with my old friend Dr Justin Morgenstern (he is younger than me, but we have been mates for a while...) This month we tackle bleeding brains, clotting eyes, doing less for pneumothoraces (or is it…
First10EM Journal Club: March 2026
Welcome back to another instalment of the Journal Club with my old friend Dr Justin Morgenstern (he is younger than me, but we have been mates for a while...) This month we tackle bleeding brains, clotting eyes, doing less for pneumothoraces (or is it pneumothoraci? Oh, well its defintitley pl(e)ural!! hehehehe!!). We chat about intra-cardiac arrest echo and Macgyvering urine collection devices for a female patients...
broomedocs.com
broomedocs.com/2026/03/card... #EMIMCC @emswami.bsky.social @emcrit.bsky.social @simon-laing.bsky.social @eleytherius.bsky.social
Cardiac Tamponade in a War Zone: Pericardiocentesis + TXA = Done? - Broome Docs
This paper was sent to me by my mate Kane Guthrie... I think he was baiting me... but it is actually a fascinating read. The Paper Pericardiocentesis,
broomedocs.com
