The seizing child is truly a scary thing to behold. If you work in the Paediatric ED, you will, at some stage, come across a child who has had a seizure, is recovering from a seizure, or is actively s…
Managing Educational Supervision
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.…
Learning Difficulties in the ED
Before my daughter came along I knew very few people with learning disabilities. Of course I saw people with LD at work, but I’m afraid I was pretty ignorant of the issues they faced and didn…
Thinking – situational awareness part 2
It can be useful to have a structure to our decision making whilst also being aware of how we think. When making decisions, especially under a pressurized system, using a structure can be really usefu…
Mental Health in the ED
As a doctor that has previously struggled with my Mental Health I hope to try and help promote a greater understanding amongst ED staff by sharing some of my experiences, and by talking through the re…
Abdominal Pain
Abdominal pain is a reasonably common presentation in paediatrics-increasing as the child gets older…
Head Injury
Walk into any Emergency Department in the country and you are bound to find at least one child waiting to be seen with a head injury…
PEM Headaches
Headaches are one of the most common presentations to ED and may be primary or secondary. Migraine is the most common type of primary headache, but the majority of headaches are benign in nature and r…
Rashes
Rashes are difficult to diagnose in both children and adults. The key is to be able to identify the important types (anaphylaxis urticaria, meningitis, non-accidental injury), and then manage to learn…
Decision Making in Paeds
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 …
Tips from Someone Who Knows
RCEMLearning asked Kate Dear what her tips for new docs in the PED are. Kate is an excellent Nurse Consultant/ANP, and if there is someone who knows, it’s her.…
PEM Introduction/ Editor’s note
We hope you find this book as a useful adjunct to your learning while here. Our blogs have been tailored to meet most PED presentations and our brilliant contributors have been working hard to make su…
PEM Starter pack book
We are pleased to announce our PEM Starter Pack with 12 blogs rolled into one handy iBook…
Coughing, Wheezy and Stridulous Children
Children with noisy or difficult breathing often present to the Emergency Department (ED). The acuity of these patients varies, but any of the conditions that cause respiratory symptoms can be life th…
A child with a fever
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.…
The Unwell Neonate and Infant
The neonatal period (…
FRCEM Tips
It’s nearly time for the FRCEM final SAQ, and to help we’ve updated one of our old posts (FCEM tips by @Fraz65), and added a few more pearls of wisdom.…
Brackium Emendo – Long bone # and NAI (DFTB18)
Fractures are the second most common manifestation of abuse in children after burns. In toddlers especially, fractures of the humerus and femur, should trigger alarm bells about non-accidental injury …
Induction Book 2: Medical Emergencies
We all work in the Emergency Department because we think theres going to be lots of emergencies…
Induction Book 2 – Alcohol Related ED Attendances
Working in the emergency department, you are guaranteed to see and treat patients from all specialties of medicine and surgery. Most will prove to be interesting but also challenging at the same time.…