A 42-year-old man presents to the ED with a severe headache. He is pacing up and down and says he has been woken up by a similar headache every night for the last 4 nights.
A 42-year-old man presents to the ED with a severe headache. He is pacing up and down and says he has been woken up by a similar headache every night for the last 4 nights.
The aim of procedural sedation is to relieve a patient’s anxiety towards and facilitate their cooperation for a potentially painful procedure
This module focuses on the knowledge, skills, facilities and equipment required to perform safe procedural sedation. Commonly used sedation agents and some of their qualities are described.
Pain is probably the most common reason for people to attend the ED. Getting it right isn’t easy though.
A woman presents with prolonged low-grade fever following a recent gynaecological procedure.
Your patient has a dislocated shoulder. Is Penthrox a suitable analgesic option?
A 70-year-old female presents to the ED with non-traumatic calf pain and swelling over the last 24 hours. She is completely unable to weight-bear.
While working in the minors area of a busy teaching hospital’s ED, a somewhat flustered junior doctor approaches you to confess her actions.
A 30-year-old male patient is brought to the emergency department (ED) by ambulance with a sudden onset of severe right flank pain over the previous 6 hours.
This guideline sets out the standards for timeliness of provision of analgesia and provides an approach to the delivery of analgesia for adult patients presenting to the ED.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This module outlines the ultrasound guided technique.
Best practice standards for safe procedural sedation. Includes choice of pharmacological agents and suggested doses. Sets out recommended staffing, competencies, monitoring, location, and discharge criteria.
How to manage acute sickle cell disease. Focus on early analgesia, warmth, hydration, and oxygenation. Recognition and management of specific complications. Criteria for admission and discharge.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This session outlines the ultrasound guided technique.
In the past, paediatric lacerations requiring sutures often required admission and a general anaesthetic for wound closure. This blog looks at how we can provide timely, cost effective and acceptable management in the ED that avoids this paradigm.
This month we have: New in EM – Clonidine for pain, Guidelines for EM – NEXUS Chest CT Rule, an interview with Matt Reed, Coca cola for food boluses and New Online.
This case describes a therapeutic excess of paracetamol and explores the further management of complications in an unintentional paracetamol overdose.
A man in his 40s arrives in the Emergency Department with a deformed foot and ankle after falling off a motorised skateboard.
A 27-year-old male cyclist presents with an isolated fractured left femur, having been hit by a car.
This month we discuss: The STANDING Protocol for Vertigo, Head Injury (Part 2 of 2), A History of A&E Performance with Steve Black, TTA Topical Anaesthetics for Corneal Abrasion and New Online.