Dr Stuart McLay

Stuart McLay became a FACEM in 2019 and is currently completing CICM training and holds a Grad Cert in International Public Health. He has published a few papers and is curious about almost everything. With that, an absolutely incredible wife, and 2 small kids there's not much time for other stuff, but if there were, Stu would be riding his motorbike or be off hunting somewhere with mates. (ORCID https://orcid.org/0000-0003-0867-1629)

Simple Molecule Size Searcher

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This is just to find out what molecules are the right size for what sort of extracorporeal removal, if at all. These weights are (mostly) just an approximation, especially as they get into the tens of thousands. Have a go. I found it interesting, hopefully you might, too. NB: Haemodialysis generally removes molecules <20kDa in … Read more

Enterocutaneous fistula

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The approach is graphically summarised here. It’s based on Alex Yartsev‘s awe-inspiring Deranged Physiology post, as well as  Cohen et al (2016),  Lundy & Fischer (2010) and Evenson (2016). The final decision-loop ignores the third possibility, which is that the patient is stable enough to go on living with a chronically-discharging ECF. I had to draw the line … Read more

Organ Donation

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What follows is a curated distillation of the ANZICS Statement on Death and Organ Donation. Donation after Circulatory Determination of Death (DCDD) Maastricht classification – only 3 & 4 used in Aus/NZ Category Context Warm ischaemic time Degree of control Category 1 Dead on arrival Unknown Uncontrolled Category 2 Failed resuscitation (ED or ICU) Known … Read more