Regular attender is brought to ED with low GCS with suspicion of intoxication in cold winter season.…
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.…
Ease off the baking!
A 62-year-old patient went too far with a seemingly benign ingredient in her kitchen.…
Digoxin Toxicity
Why digoxin? Digoxin has a narrow therapeutic index and digoxin toxicity can be a life-threatening condition.…
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.…
Acute Kidney Injury
This session aims to illustrate, through a series of clinical cases, the common presentations and complications of acute kidney injury (AKI).…
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?…
Feeling Funny
A 35-year-old presents with paraesthesia and weakness in both lower limbs.…
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.…
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…
LOL, it’s not funny!
A case of Ataxia and weakness of limbs in a teenage male…
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…
Paediatric Toxicology Considerations
Presentation of children to the emergency department by concerned parents after a potential ingestion of a substance is common…
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…
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…
A Blood Gas Brain Freeze
You are asked to see a 51-year-old lady who has been taken to the resus room. The ambulance crew tell you she has taken an overdose 5 hours previously…
Paediatric Toxicology Considerations
The presentation of a child to the emergency department (ED) by concerned parents after ingestion of a potential toxin is a frequent occurrence.…