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An Electrical Storm

A 68-year-old man with a prior history of MI is pre-alerted to hospital as having had a pre-syncopal episode with an abnormal ECG.

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Sudden Collapse in a Young Man

A 27-year-old man presents to the ED with a history of collapse whilst on a treadmill at his local gym. He was witnessed to have been briefly unresponsive but there was no seizure activity.

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September 2025

This month we have New in EM – Accuracy of cath lab activation by doctors & AI | Guidelines for EM – AF (Part 2 of 2) | New in EM – Management of acute asthma exacerbations | New Online

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August 2025

This month we have New in EM – Ruling out ACS in the ED | Guidelines for EM – AF (Part 1 of 2) | Interview with Matt Reed RE: Flagship Conference | New Online

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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.

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Unscheduled Cardio Workout

A 30-year-old male wakes up with rapid heartbeat and shortness of breath. Explore the urgent management and underlying cause of this unexpected tachycardia case.

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Break the BRASH

A 59-year-old man pre-alerted to the PCI team with symptomatic CHB and received Atropine prehospitally. The patient is directed to the ED and is stable on assessment with significant bradyarrhythmia.

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October 2024

This month we have Peripheral Hypertonic Saline | RCEM Learning Disability Toolkit | EM at the Deep End | New in EM: Double Sequential Defibrillation for Refractory VF (Dose-VF Trial) | New Online

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Demystifying a Fast Heartbeat

A young woman presents to the ED with one hour of palpitation associated with light-headedness and shortness of breath. What happens if the routine management fails?

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