Management of opiate overdose is simple. ABCDE assessment, support of oxygenation and respiration as necessary, and antagonise with naloxone if toxicity is severe. Everyone has their own take on it. B…
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…
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…
A Blood Gas Brain Freeze
You are asked to see a 51 year old lady who has been taken to the resus room. The ambulance crew tell you she has taken an overdose 5 hours previously…
Tis the season ….
Regular attender is brought to ED with low GCS with suspicion of intoxication in cold winter season…
Nothing to Declare
A patient presents to the Emergency Department suspected of having illicit concealed drugs. This SAQ explores the clinical management, combined with the ethical and medicolegal aspects of their care.…
The Mental Health Act and Emergency Medicine
Approximately 10% of all admissions to the Emergency Department (ED) are related to patients having a mental health crisis. With the ever increasing numbers of patients requiring mental health input,…
Antifreeze. To drink or not to drink?
A 20 year old female was brought into the Emergency Department as a pre-alert call. She had been found unresponsive in her room at a psychiatric unit…
August 2018
August 2018 Podcast…
Acute Kidney Injury
This session aims to illustrate, through a series of clinical cases, the common presentations and complications of acute kidney injury (AKI)…
Induction – Doctor can you cast your eyes over this ECG for me?
It’s a phrase you’ll come to know well. Especially, you’ll find, if you’re sitting at a certain desk or in a certain area…
Paracetamol overdose
So the TOXABSE guidelines for staggered paracetamol overdose last night. We bring you an up to date podcast on paracetamol overdose management recorded at the recent RCEM scientific conference with Ja…
Methaemoglobinaemia
Hypoxia is common in patients presenting to the ED and can be life-threatening. The differentials are wide and include cardiac, respiratory and haematological causes…
Methaemoglobinaemia – True Blue
Methaemoglobinaemia is a life-threatening cause of hypoxia and death but is reversible with early recognition and treatment…
Paracetamol Overdose
A podcast about one of the most frequent presentations and poisoning seen in the ED…
Poisoning
Learn about a rare type of poisoning which is cropping across the UK…
CFN approach to IDU
Struggling to find a resource on how to approach the IDU, check out this podcast…
Ecstasy
Class A drug in the UK – illegal to possess, give away or sell. Possession can be punished with 7 years in jail…
Heating: It’s Not Just the Bills Giving You a Headache
A 35 year old lady is brought to the ED by her husband after developing acute confusion, vomiting and unsteadiness on her feet…
Carbamazepine – A Toxic Shock
A 46 year old man is brought to the Emergency Department by ambulance…