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.…

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The Foxglove’s bite

An elderly gentleman presented with lethargy and poor oral intake. As routine tests begin they reveal he has more than just an AKI that needs treatment.…

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Acute Kidney Injury

This session aims to illustrate, through a series of clinical cases, the common presentations and complications of acute kidney injury (AKI).…

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Feeling Blue: When a good night turns bad

A woman is found unresponsive in a takeaway at midnight. She is hypotensive, drowsy and has low oxygen saturations. She is unable to give a history and there is nobody with her. Can you help her?…

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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…

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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…

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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…

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He looks a bit blue doctor

A 45 year old man is brought to ED after his neighbours call an ambulance, concerned that he looks ‘unwell’. The paramedic crew bring him to resus since he appears cyanotic with sats of 82…

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