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…
Will you look at this ECG for me?
You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical – but which one?…
‘Coronitis Pigmentosa’ – A blind diagnosis?
You receive a sepsis pre-alert for a 39 year old female who is brought in by ambulance vomiting. She has muscle aches and a fever for 5 days. She is triaged to Covid resus. Her blood gas isn’t pretty.…
A Classic Case!
A 30-day-old ex-36/40 twin, male infant attends the ED with his mother due to concern regarding vomiting of 4 days duration…
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.…
Doctor, what’s that wriggling around?
A 25-year-old man with no significant past medical history presents to the Emergency Department with his wife complaining of a one day history of vomiting and diarrhoea.…
Palliative Care in the ED – Induction
A patient attends majors, with sepsis. You overhear someone saying “they’re palliative care, so we don’t need to do anything…
A Rare and Serious Adverse Event Related to Codeine
An 80-year-old woman presented to the ED at 2am with acute chest pain and shortness of breath.…
Paracetamol: family friend or secret killer?
A pregnant female accidentally takes an excess of paracetamol. This SAQ explores the important considerations taken when managing acute paracetamol poisoning during pregnancy.…
Eye am under pressure
A 60-year-old woman presents with eye pain and visual disturbance. She vomits just as you call her in for assessment.…
Scoring Upper Gastrointestinal Haemorrhage
A 41 year old gentleman presented to the Emergency Department with a three day history of vomiting blood and the passage of bright red blood rectally…
July 2019 Podcast
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 – Diagnosti…
You Spin My Head Right Round
A woman in her 50s presented with sudden onset nausea and vertigo.…
The Vomiting patient: a useful and critical CXR finding
A 24-year-old gentleman attends A&E due to vomiting, abdominal pain, constipation and a swollen neck…
You think I am faking my headache?
A 27-year-old female has presented with recurrent headaches, worse in the morning…
All day (morning) sickness
Nausea and vomiting affects approximately 80% of women during early pregnancy…
Under Pressure
A normally well man in his 50’s presented with severe chest pain following vomiting…
Arterial Blood Gas Analysis
This session is about the evaluation of arterial blood gases in the emergency department…
Acidotic alcoholics – what does the gas say?
A 56-year-old man presented to the Emergency Department 48 hours following an alcohol binge with chest pain and dyspnoea.…