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You go through the list of patients in the ED and find a 82-year-old lady, fallen down the stairs, complaining of neck and chest pain, normal observations and sat on a wheelchair in the waiting area.
This blog has been developed with research abstracts in mind; however, many of the principles discussed can also be applied to other types of abstracts, including quality improvement projects and case reports.
Immersive manikin simulation is a popular teaching modality in healthcare, with lots of tips everywhere. It's so popular RCEM does have a simulation committee, and regional leads have been appointed.
This guide is not intended for those who are experienced ITU types, however, if you have little experience in the use of NIV, please read on.
It wasn't until I spent some time working in France and in the DRCongo that I really developed an understanding of communicating in a second (or third) language, or not being able to communicate with someone at all.
Here are two cases of oncological and palliative care emergencies that might present to the emergency department, that we should know how to treat.
Your patient is a 70-year-old lady with a history of type 2 diabetes and Parkinson’s disease, for which she is on a number of medications.
Why digoxin? Digoxin has a narrow therapeutic index and digoxin toxicity can be a life-threatening condition.
A practical guide to recognising and managing acute compartment syndrome in the ED - covering pathophysiology, red flags, pressure thresholds, and why early fasciotomy can save a limb.
EM physicians need to be decision makers, quick thinkers and risk balancers. This is what we are good at. In fact, many will tell you that the purpose of the PEM rotation is to learn to spot the sick child.
The alert phone goes: the ambulance team are bringing in a 2 year old girl who has fallen down a flight of stairs
A practical guide to running the Emergency Department floor as EPIC, using a simple structured framework to improve flow, safety, communication and team support throughout your shift.
Trust lies at the foundation of any relationship. A relationship without trust is never going to be long-lasting, or at least, a positive one. The same applies with the leader-follower relationship in the workplace. But what is it that makes one human-being trust another human-being?
If I mention scurvy to most people, they think of sea dogs, and Pirates, and archaic health complaints.
Our hands are important. The sensory information they collect and their ability to co-ordinate complex movements allow us to explore and physically interact with our environment.
I didn’t realise I was burned out until I was properly scorched. I’d been close before, but thought I was doing ok this time.
Burnout is a state of physical, emotional and mental exhaustion caused by prolonged, unmanaged chronic stress, most commonly in an occupational context. Much research has been done on burnout affecting emergency department teams.
Educational supervision has come under scrutiny the last few years. People are no longer automatically deemed to be good supervisors when they hit consultant level.
In this blog we're talking about hyperglycaemia in the ED. There aren't any official guidelines on management, but our experience has shown that there's a huge variation in practice, and many cases are mismanaged.
The term “Doctor in Difficulty” is one that will have different emotions attached to it depending on your experience. We used to just think about “trainees in difficulty” but then realised non-trainees are just as likely to be in difficulty and need some support.
Next to be seen is a 35 year old male, returned from Ghana, presenting with muscle pain, headaches, a history of fever and diarrhoea
With potential to wreak systemic havoc for years following initial infection, Group A beta-haemolytic Streptococcus pyogenes (or, far more conveniently, ‘GAS’) is an organism truly worthy of our inner nerd.
3D printing is becoming ubiquitous. You may have a 3D printer, or you may be thinking of ways in which it can be useful. Here are a few thoughts on 3D printing in the ED together with a case study on how it is useful. Do add your tips, resources and suggestions in the comments.