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…
Is the K OK?
A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations…
Methaemoglobinaemia – True Blue
Methaemoglobinaemia is a life-threatening cause of hypoxia and death but is reversible with early recognition and treatment…
Blue Sunday
A 23-year-old woman is rushed into Resus following a collapse in a local night club.…
A Fishy Tale
From somewhere under the sea, sun… and food container.…
Breathe it in: Nebulised Naloxone
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…