A patient is bradycardic. They might need pacing. They might not.…
Thyroid Storm
Thyroid storm is a rare but life-threatening endocrine condition that should be considered, recognised and treated quickly…
My Racing Heart
A case exploring the knowledge and practical applications of managing life-threatening tachyarrhythmias…
Syncope
Neurological causes of syncope include basilar artery migraine, vestibular dysfunction and vertebrobasilar ischaemia.…
Broad Complex Tachycardias
This session covers the assessment and management of broad complex tachycardia…
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.…
Calcium Metabolism
For hypercalcaemia to develop, the normal calcium regulation system must be overwhelmed by an excess of PTH, calcitriol, some other serum factor that can mimic these hormones, or a huge calcium load.…
Setting Pulses Racing
Presentation to the ED with new onset heart palpitations…
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.…
Tiny Tot’s Ticker Flicker
A 5-week term baby is brought in by his parents with a 24-hour history of poor feeding. No fever or infective features.…
August 2020
This month we have 2 sections. Part 1 we discuss Timing of endoscopy, New in EM Haloperidol for migraine, New in EM Drugs v DCC in A Fib. Part 2 we discuss the RCEM guideline on suspected internal dr…
ECG Changes in an Unconscious Patient
ECG changes in an unconscious patient…
Very, Very Fast Heart
A 56-year-old moderately obese smoker has been sent to the emergency department by his GP via 999 ambulance…
The Camel’s Hump?
An elderly lady presents to the emergency department from a nursing home having been found on the floor in her room…
Heart beats fast
A patient books in stating that his “heart is beating fast”. Your receptionist thinks he ‘doesn’t look right’ and brings him through to you in the main department…
October 2019
Octobers podcast is a special from the RCEM ASC with an interview with the new president Dr Katherine Henderson, Prof Simon Carley on his top 10 papers for EM, and an interview with Rod Little prize w…
Supraventricular Tachycardias
This session is designed to help you understand the principles, basic physiology, and clinical features of supraventricular tachycardias. It is written from a clinical standpoint, with testing based o…
Supraventricular Tachycardias
Supraventricular Tachycardias can be divided into three pathophysiologicaly distinct conditions.…