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.…
Tis the season ….
Regular attender is brought to ED with low GCS with suspicion of intoxication in cold winter season.…
Can’t stand – bilateral leg weakness
A 25-year-old male presents with a five day history of bilateral muscular leg pain.…
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.…
Acute Kidney Injury
This session aims to illustrate, through a series of clinical cases, the common presentations and complications of acute kidney injury (AKI).…
Hereditary Angioedema
Patients frequently attend the emergency department (ED) with episodes of cutaneous and mucosal swelling.…
Weakness not due to stroke
An 84-year-old woman presents to emergency department with new confusion and weakness.…
Procedural sedation in Emergency Medicine 2020
Sedation is a routine aspect of emergency care. The aim is clear: make the procedural experience as comfortable as possible for your patient, whilst ensuring that your practice is safe.…
Procedural Sedation in Emergency Medicine 2020
Discussing the indications for procedural sedation…
Adrenaline in a (lawyer’s) finger…
While working in the minors area of a busy teaching hospital’s ED, a somewhat flustered junior doctor approaches you to confess her actions.…
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.…
Help, I can’t feed myself!
A 46-year-old female patient presents as she keeps falling over and is no longer able to feed herself…
Papa Smurf has a Seizure
A 40-year-old man had a seizure which was witnessed by his wife; she reported that he was unresponsive and all limbs were shaking…
Is the K OK?
A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations…
Management of Acute Dystonia
Acute dystonias are commonly seen in emergency medicine. Most occur as a result of recreational or prescribed drugs. Most respond to simple therapies…
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…
A Fishy Tale
From somewhere under the sea, sun… and food container.…
Salicylic Stress
Paul, a 52 year old electrician, has been in your department for three and a half hours with a presenting complaint of abdominal pain…
A Toxic Slip
A 65-year-old man with a background of osteoarthritis presents to the Emergency Department with left hip pain following a fall…