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.…
What’s Wrong with the Probe?
A 52-year-old male presents with a 2-day history of lethargy, vomiting and feeling generally unwell.…
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.…
Ease off the baking!
A 62-year-old patient went too far with a seemingly benign ingredient in her kitchen.…
The Foxglove’s bite
An elderly gentleman presented with lethargy and poor oral intake. As routine tests begin they reveal he has more than just an AKI that needs treatment.…
Acute Kidney Injury
This session aims to illustrate, through a series of clinical cases, the common presentations and complications of acute kidney injury (AKI).…
Feeling Blue: When a good night turns bad
A woman is found unresponsive in a takeaway at midnight. She is hypotensive, drowsy and has low oxygen saturations. She is unable to give a history and there is nobody with her. Can you help her?…
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…
‘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.…
She Won’t Freeze Now
A 50-year-old female presents to the emergency department after drinking antifreeze.…
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.…
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.…
If you go down to the woods today…
A 36-year-old female, with a previous history of asthma, was brought to the emergency department at 1840hrs on a Saturday afternoon…
Doctor can you cast your eyes over this ECG for me? – Induction Course
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…
ECG Changes in an Unconscious Patient
ECG changes in an unconscious patient…
‘Too Much of a Good-dipine’
How will you manage haemodynamic instability in a patient following a calcium channel blocker drug overdose?…
Too Much Pain
A 50-year-old female presents with acute confusion and vomiting…
Papa Smurf has a Seizure
A 40-year-old man had a seizure which was witnessed by his wife; she reported that he was unresponsive and all limbs were shaking…