Neurological causes of syncope include basilar artery migraine, vestibular dysfunction and vertebrobasilar ischaemia.…
When the colour drains from your face!
An 87-year-old female presents with episodes of transient loss of consciousness, pallor and seizure-like activity.…
Cardiac Implantable Devices
Cardiac rhythm management devices (pacemakers and implantable cardioverter-defibrillators, or ICDs) are a constantly evolving and improving field…
Cardiac Implantable Devices
Implantable devices in Cardiology is a term covering a variety of diagnostic and therapeutic modalities.…
The Devil in the Dosset Box
A 94-year-old female with dementia was referred to the ED from her residential home. She had a 2 day history of anorexia, lethargy and loose stools 3 times a day.…
Parasyncope?
A 47-year-old nurse with a 2 week history of headaches and lethargy presented with a pre-syncopal episode at work. She was pale and sweaty before the collapse and had slow speech during the episode.…
When thunder roars, go indoors!
Learning about lightning injuries…
Lightning Learning
During Summer storms, lightning strikes can cause fatalities …but what happens to the survivors?…
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…
TLOC – Induction
This is a very common but also very varied ED presentation. A triage of “collapse ?cause” can mean anything from a young patient having fainted in phlebotomy to an elderly patient being found on the f…
Chest Pain – Induction
Chest pain is one of the most common reasons adults come to an ED…
Things that go bump in the night!
An 86-year-old lady was admitted to the Emergency Department following a vacant episode during the night.…
EMJ Podcast December 2019
This month we have What do older people want from emergency care, Determination of the best early warning scores to predict clinical outcomes of emergency department patients, Is Seniority of Emergenc…
Sudden Collapse in a Young Man
A 27 year old man presents to the Emergency Department with a history of collapse whilst on a treadmill at his local gymnasium. He was witnessed to have been briefly unresponsive but there was no seiz…
Decompression Illness
Diving-related problems can present in many ways and their appropriate and timely management is essential for good outcomes and patient safety.…
Loop recorders and the 24-hour tape: there has to be a better way! The IPED study
The IPED study investigated the use of a new hand-held ECG event recorder for the diagnosis of palpitations or pre-syncope…
Decompression Illness
Diving-related problems can present in many ways and their appropriate and timely management is essential for good outcomes and patient safety.…
Down the Troponin Rabbit Hole
An 81-year-old presents following a collapse. His blood tests from triage included a troponin level. It’s significantly elevated. What next?…
July 2019 Podcast
This month we have Aromatherapy for Nauseated ED Patients | Rob Rogers at EMEC – Medutopia, Legacies and Inspiration | Hugo Dowd – Syncope at Belfast CPD | Iain Beardsell – Diagnosti…
My Heart Skips a Beat
A child presents following a collapse at a football game…