The nurse at triage comes to speak to you: “Theres a pregnant 28year old with vaginal bleeding in the waiting room. Shes been here nearly four hours can you go and sort her out quickly please?&…
Protected: Abdominal Pain
There is no excerpt because this is a protected post.…
Vomiting for 3 Days – Too Much Whiskey?
A 29 year old woman presents with a 3 day history of vomiting following drinking most of a bottle of vodka…
Nursing Home Patient with Constipation
An 82-year-old nursing home resident is brought into the emergency department with abdominal distension and a 2 day history of constipation…
Trainee Teaching Sessions in the COVID outbreak Part 1
Welcome to the first of our virtual monthly teaching sessions. This is something we have organised in the North West for higher trainees who all get a teaching day a month to cover some curriculum top…
Picking your brain (or blood) cells …
A young male has concerning symptoms with a background history of G6PD deficiency…
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.…
Adult Cystic Fibrosis
Cystic Fibrosis is caused by a mutation in a gene that encodes cystic fibrosis transmembrane conductance regulator (CFTR) protein, which is expressed in many epithelial and blood cells.…
Adult Cystic Fibrosis
Describing the pathophysiology of cystic fibrosis…
Irritable Bowel Syndrome in the Emergency Department
“Toni is a 35 year old lady who attends the emergency department regularly with chest pain. Nothing seems to make it better, and her troponin is always normal. You wonder if there is a potential…
Gin and Ketonic
A 45-year-old man attends the department with a 48 hour history of nausea and vomiting. He also has a diffuse upper abdominal pain…
Precious Stones
A 32-year-old man arrives in emergency department writhing in agony with flank and loin pain…
FRCEM Primary Paper 4
FRCEM Primary Examination Single Best Answer…
Management of Haematuria
This session covers the management of patients who present to the emergency department with macro or microscopic haematuria…
EMTA 2018 prize winners
Research in Emergency Medicine ranges in scale and complexity and covers a wide spectrum of subjects, all of which contribute to our overall knowledge base…
FRCEM Primary Paper 2
FRCEM Primary Examination Single Best Answer…
Ectopic pregnancy
RIF pain and PV bleeding – history and treatment…
A Supratherapeutic Surprise
This case describes a therapeutic excess of paracetamol and explores the further management of complications in an unintentional paracetamol overdose.…
The Apoplectic Abdomen
A 22 year old man presented to the ED following a collapse with abdominal pain and no history of trauma. He was profoundly shocked and investigation revealed intra-abdominal haemorrhage.…
Anecdote-based Emergency Medicine #2: Abdominal pain
Stories can help us understand patients, ourselves and colleagues better, and so be better emergency physicians…