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?…
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…
Too Much Pain
A 50-year-old female presents with acute confusion and vomiting…
Papa Smurf has a Seizure
A 40-year-old man who 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…
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…
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…