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…
Seriously, Not Another Protocol? (EBM)
You receive a standby call for red-flag sepsis – Initial pattern recognition triggers the pathway. Shortly after arriving you experience ‘pattern interrupt’ and ponder new evidence in the treatment of…
‘Coronitis Pigmentosa’ – A blind diagnosis?
You receive a sepsis pre-alert for a 39 year old female who is brought in by ambulance vomiting. She has muscle aches and a fever for 5 days. She is triaged to Covid resus. Her blood gas isn’t pretty.…
LOL, it’s not funny!
A case of Ataxia and weakness of limbs in a teenage male…
Carbamazepine – A Toxic Shock
A 46-year-old man is brought by ambulance to the Emergency Department. He has been drinking alcohol all afternoon and according to collateral from his wife he had taken ‘some tablets’ two hours ago.…
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…
‘Too Much of a Good-dipine’
How will you manage haemodynamic instability in a patient following a calcium channel blocker drug overdose?…
More than just a DVT
A 38-year-old gentleman reattends obtunded and narcosed after being treated for a DVT the day before.…
The ABC of Self-Harm in Young People – A Psychiatric Approach to Resuscitation
Why is this a hot topic? It is a sign of serious distress. It is common. It is strongly associated with suicide. Suicide is one of commonest causes death in young people. 200% increase in self harm 19…
Breathe it in: Nebulised Naloxone
Management of opiate overdose is simple. ABCDE assessment, support of oxygenation and respiration as necessary, and antagonise with naloxone if toxicity is severe. Everyone has their own take on it. B…
Hot under the collar
A 29-year-old male presents after being poisoned with an unknown drug.…
EMJ Podcast August 2019
This month we discuss Cannabis hyperemesis syndrome and interpreting and verifying the index test…
The Bittersweet Cocktail
A 45-year-old female attended the Emergency Department after taking an intentional antifreeze overdose.…
The ALS Algorithm
This session covers the Advanced Life Support (ALS) algorithm (2010), which provides an evidence-based template for your clinical skills…
The 3Cs of Paediatrics
It’s Friday evening and you’re at work in the ED (where else would you rather be??). Jack is a 15 year old boy who has taken an overdose of paracetamol a couple of hours ago. He texted his…
A Supratherapeutic Surprise
This case describes a therapeutic excess of paracetamol and explores the further management of complications in an unintentional paracetamol overdose.…
Anecdote-based Emergency Medicine #1: excited delirium
The relative tranquillity of the night shift thus was about to be broken. I swallowed my apprehension and walked outside.…
April 2018
The latest podcast from the RCEMLearning team…