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This month we have New in EM - Ibuprofen plus opiates in paediatric injury | Guidelines for EM - Sexual Assault in the ED | Maddy Dodds - Sexual Assault in the ED
A 50-year-old man presents with severe chest pain and vomiting after eating pork meat; diagnosed with spontaneous oesophageal rupture.
A 56-year-old male with stuffy nose and fall 6 days ago. Clinically infected septal hematoma - Swelling in both nostrils; high CRP, nasal deformity.
A 78-year-old man on clopidogrel presents after a fall with rib fractures, pulmonary contusion and haemothorax; ED erector spinae plane block has provided effective analgesia and improved oxygenation.
A 44-year-old male collapses and is subsequently brought into Resus. He presents with sudden-onset chest tightness and sweating, preceded by progressive shortness of breath over the past 24 hours.
A 5-year-old boy is brought to the ED with a swollen red eye and a raised temperature.
You pick up the next patient to be seen. It's a 25-year-old who has neck stiffness, and a headache, and a sore throat. The GP has sent them in as a possible meningitis patient. Where do you go from there?
A fit, healthy 31-year-old male presents to the Emergency Department with an acutely swollen, painless upper limb.
Following a recent travel to Zambia, a pregnant woman develops high fever, dark urine, and confusion after a seizure; she arrives in the ED acutely unwell with hypoglycaemia.