The majority of post-tonsillectomy bleeds are self-limiting. However, bleeding can be occult and early identification is important to prevent further complications.…
Vaginal Specula in the ED… Why, When and How
A few considerations for why ED practitioners should all be comfortable at performing speculum examinations and bimanual examinations.…
May 2022 Virtual Journal Club – Rapid Agitation Control with Ketamine in the ED: A Blinded, Randomised Controlled Trial
Welcome to April 2022’s Virtual Journal Club module. The team for this month’s virtual journal club is made up of Emergency Medicine trainees of different grades from the North East region.…
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.…
Take my breath away
A 27-year-old male has self-presented to your ED with acute onset of shortness of breath and severe pain to the right side of his chest.…
Tis the season ….
Regular attender is brought to ED with low GCS with suspicion of intoxication in cold winter season.…
Bowel Obstruction
Intestinal obstruction is an important cause of the acute abdomen, accounting for up to 5% of emergency admissions to surgical services.…
Kidney Bean Troublin’
A patient with “kidney troubles” now has acute kidney injury. How will you identify and manage her AKI?…
Just another ‘renal colic’
A 36-year-old gentleman presents with intermittent flank pain and has microscopic haematuria. His BP is 220/110 and he is now pain free. What would you do next?…
Paced
A patient is bradycardic. They might need pacing. They might not.…
Fell on a knife
Penetrating neck wounds – how do you manage the stable patient?…
April 2022
This month we have New in EM – IV lines in axillary node clearance, Guidelines for EM – Headaches, New in EM – The RePHILL trial…
Kidney, Urine Trouble! – AKI
Can you recognise acute kidney injury and prevent its deadly complications?…
A Bloody Pain in the Neck
An anxious 45-year-old male presents to your Emergency Department with acute neck swelling.…
It’s not the cough that carries you off…
A 67-year-old male attends the ED following a 4 day history of worsening cough productive of green sputum, pleuritic chest pain and fever.…
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.…
Buff, buff….my heart away…
A 38-year-old gentleman has just finished a course of antibiotics for pneumonia, but his symptoms aren’t resolving…
February 2022 Virtual Journal Club – Fluid Response Evaluation in Sepsis Hypotension and Shock
At TERN Education we are keen to help you learn how to critically evaluate the evidence base behind your practice. In order to do this, we have been producing monthly virtual journal club (VJC) module…
Ease off the baking!
A 62-year-old patient went too far with a seemingly benign ingredient in her kitchen.…