This month we have Peripheral Hypertonic Saline | RCEM Learning Disability Toolkit | EM at the Deep End | New in EM: Double Sequential Defibrillation for Refractory VF (Dose-VF Trial) | New Online
A young woman presents to the ED with one hour of palpitation associated with light-headedness and shortness of breath. What happens if the routine management fails?
Diagnosis of thoracic aortic dissection in adult patients attending the emergency department. CT Aortogram is modality of choice for chest pain with high risk past medical history, symptoms, or clinical signs.
Dyspnoea is an overall term used to describe an unpleasant awareness of increased respiratory effort and will be used synonymously with "breathlessness" in this session.
Noel and Stephen discuss High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial.
In the first podcast of 2024 we have Aortic Dissection in the ED, Invasive Procedures in the ED, Noninvasive airway management in comatose poisoned patients and New Online.
This month we have a brand new Co-host, Liz Farah. And the topics on discussion are Mortality in older patients boarding overnight in the ED, Hypertension in the ED and Cauda Equina Syndrome, Opioids for back pain & New Online
A hypertensive emergency is defined as the clinical situation in which there is a marked elevation of blood pressure (BP) associated with acute or progressive end organ damage, e.g. cardiovascular, renal or neurological dysfunction.
This session looks at disorders of potassium metabolism, in particular the presentation of hypokalaemia and hyperkalaemia in the ED. It also covers the investigation and management of these conditions.
This module looks at disorders of potassium metabolism, in particular the presentation of hypokalaemia and hyperkalaemia in the ED. It also covers the investigation and management of these conditions.
This month we look at a paper dealing with Performance of a prehospital HEART score in patients with possible myocardial infarction a prospective evaluation and also one on methocarbamol vs diazepam in management of acute lower back pain.
A previously well and fit 70-year-old man presents with acute shortness of breath, pre-syncopal symptoms and a significantly reduced exercise tolerance.
The aim of this session is to have a quick recap of Brugada syndrome, identify key ECG features for diagnosis and learn about managing patients with the condition.
The aim of this session is to have a quick recap of Brugada syndrome, identify key ECG features for diagnosis and learn about managing patients with the condition.
This module is designed to help you understand the principles, basic physiology, and clinical features of supraventricular tachycardias. It is written from a clinical standpoint, with testing based on scenarios, and the main text based on ECG interpretation.
This session covers management of tachycardias in the Resuscitation Room. It builds on the Resuscitation Council UK ALS Guidelines (2021) using selected evidence.
Is this another ‘Normal Sinus Rhythm (NSR) or could the T-waves be telling us more about a not-so-rare syndrome in this 69-year-old patient with chest pain?
A 25-year-old obese female, who is 1-week post-partum, presents with worsening shortness of breath on minimal exertion, orthopnoea, pedal oedema and a dry cough.
A 27-year-old man presents to the ED with a history of collapse whilst on a treadmill at his local gym. He was witnessed to have been briefly unresponsive but there was no seizure activity.
A conducted energy device (CED) ‘taser’ was discharged into a patient’s shoulder. Before this patient is taken into police custody, you’ve been asked to assess them in your ED.
The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
This month we discuss Fluids in RSI, Learning Disabilities, New Online material and we have highlights from the Thames Valley Cardiac Arrest Symposium (Part 1)
This session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines
This learning session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines.
Imagine it's 2am and the Red Phone rings…. “A 26-year-old male, fallen off motorcycle, in traumatic cardiac arrest”. Your heart races, you’re excited, but you feel way out of your depth. You know there’s loads to prepare and often there isn’t much notice. What do you do?
A 69-year-old gentleman presented to the emergency department with odd periods of vacancy. His wife reported that on the previous day, he had 2 episodes in which he would become suddenly pale and confused for 20 to 30 seconds.
A mother has rushed into the ED very concerned that her baby is blue. This case covers the importance of understanding cyanosis, with consideration for the potential causes and management in a 3 week old.
A 36-year-old gentleman presents with intermittent flank pain and has microscopic haematuria. His BP is 220/110 and he is now pain free. What would you do next?
Radiation of pain to the arms or shoulders, and association with exertion, diaphoresis, nausea or vomiting are useful for ruling in the diagnosis of AMI.
This session addresses the clinical assessment and management of patients with low risk chest pain, specifically the identification of patients with acute coronary syndrome
Our curriculum mentions pacing, and we all think that we know all about that as we’ve got ALS… right? Some of our brief discussions on twitter highlighted that pacing can be more complicated than ALS implies, and actually isn’t very common in ED.
This month’s edition of TERN’s top papers series comes from a small team of higher EM trainees in the North West. It looks like we will all experience some rainy days this winter, so we hope you enjoy these summaries of articles that caught our eye
The neonatal period (<28 days of age) and young infancy (< 3months ) is the most common time for presentation of congenital conditions and the highest susceptibility for infection.
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
This session is about the pathophysiology of acute coronary syndromes, defining acute myocardial infarction and recognising the various presentations and clinical features associated with acute coronary syndromes.
This session is about the pathophysiology of acute coronary syndromes, and recognising the various presentations and clinical features associated with them.
As I write this, it’s aortic dissection awareness day. Not another blog on AAD I hear you cry…But we thought you might all like an update and a consolidation on what is happening in the world of this black swan diagnosis.
The spontaneous presentation of phaeochromocytoma is normally between the age of 40 and 50 years, however the hereditary forms often present in younger individuals, including children.
Patients with known pulmonary hypertension may present to the emergency department with a variety of acute problems related to this disease such as pulmonary embolism
For hypercalcaemia to develop, the normal calcium regulation system must be overwhelmed by an excess of PTH, calcitriol, some other serum factor that can mimic these hormones, or a huge calcium load.
This learning module covers the basics of what an LVAD is, the common complications an emergency medical team may have to deal with, and the management of a collapsed LVAD patient.
This learning module covers the basics of what an LVAD is, the common complications an emergency medical team may have to deal with, and the management of a collapsed LVAD patient.
Blood pressure is a fickle beast and one that I’m not sure many of us really understand. We’re fabulous at treating it if it’s too low… but when it’s too high, our practice is a bit more varied.
A 94-year-old female with dementia was referred to the ED from her residential home. She had a 2 day history of anorexia, lethargy and loose stools 3 times a day.
This month we have 2 sections. Part 1 we discuss Timing of endoscopy, New in EM Haloperidol for migraine, New in EM Drugs v DCC in A Fib. Part 2 we discuss the RCEM guideline on suspected internal drug traffickers
This month is in 2 parts. Part 1 has LoDED Study, Trauma Top 5 Papers, Neurosurgical Emergencies. Part 2 has New in EM - Peripheral pressors, VTE Guidelines, New in EM - Thirst guided IV fluid
A patient books in stating that his “heart is beating fast”. Your receptionist thinks he ‘doesn’t look right’ and brings him through to you in the main department.
The January 2020 podcast is hosted by Chris Connolly and features New in EM currency in EM intubation, ASC 2019: Govind Oliver - Clinical Gestalt vs TMAC scoring, New in EM early antibiotic in sepsis, ASC 2019: Gordon Fuller AHEAD-2
Octobers podcast is a special from the RCEM ASC with an interview with the new president Dr Katherine Henderson, Prof Simon Carley on his top 10 papers for EM, and an interview with Rod Little prize winner Dr Gordon Fuller
This month we have Aromatherapy for Nauseated ED Patients | Rob Rogers at EMEC - Medutopia, Legacies and Inspiration | Hugo Dowd - Syncope at Belfast CPD | Iain Beardsell - Diagnostics at Belfast CPD | Cardioversion for A Fib
About 1 year ago, Pam, a 62-year-old, recently retired teacher, fit, well & active, suffered sudden onset of severe ‘ripping’ pain in her chest & upper abdomen
