Seriously, Not Another Protocol? (EBM)

You receive a standby call for red-flag sepsis – Initial pattern recognition triggers the pathway. Shortly after arriving you experience ‘pattern interrupt’ and ponder new evidence in the treatment of…

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Working from home

It is a busy winter evening in the Emergency Department. The next patient to be seen is a 37-year-old female presenting with a headache, nausea and general malaise.…

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Carbamazepine – A Toxic Shock

A 46-year-old man is brought by ambulance to the Emergency Department. He has been drinking alcohol all afternoon and according to collateral from his wife he had taken ‘some tablets’ two hours ago.…

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Is the K OK?

A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations…

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Salicylic Stress

Paul, a 52 year old electrician, has been in your department for three and a half hours with a presenting complaint of abdominal pain…

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September 2019

This month we have Guideline CVA part 2 | Paper 1 – New in EM cervical artery dissection | Belfast CPD 2019 Acute Ophthalmology | New in EM: NACSTOP trial – early cessation of NAC in parac…

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A Toxic Slip

A 65-year-old man with a background of osteoarthritis presents to the Emergency Department with left hip pain following a fall…

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He looks a bit blue doctor

A 45 year old man is brought to ED after his neighbours call an ambulance, concerned that he looks ‘unwell’. The paramedic crew bring him to resus since he appears cyanotic with sats of 82…

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