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Measles

Many of us in the UK EM will have gone most of our careers without seeing any confirmed cases of measles. Vaccination rates have been dropping though, so measles is back in our departments and has to be in our differential diagnosis list.
Angioedema and Urticaria (hives) are part of a spectrum of allergic symptoms and occasionally have a non-allergic aetiology.
An 11-year-old boy has reattended for the 3rd time with blistering skin lesions.
A previously healthy patient presents with a rapid onset illness, with fever, rash and tachycardia - what could be the culprit?
A 63-year-old male walks into the Emergency Department with elbow and forearm pain and initially appears well.
This session covers the correct procedure for a thorough and comprehensive dermatological examination to allow the correct diagnosis of patients presenting to the ED with dermatological conditions.
This module covers the correct procedure for a thorough and comprehensive dermatological examination to allow the correct diagnosis of patients presenting to the ED with dermatological conditions.
Lyme disease is a spirochete infection transmitted by ticks. ED presentation, although rare, is important to identify to enable early treatment
Group A Streptococcus is responsible for many skin and soft tissue infections, which can be identified based on the appearance of the associated skin rashes.
Necrotising fasciitis is a rare but severe soft tissue infection that requires a high index of suspicion for diagnosis in the ED.
Necrotising fasciitis is a rare but severe soft tissue infection that requires a high index of suspicion for diagnosis in the ED.
A 28-year-old man recently returned from abroad. He is feverish with sore eyes and a rash.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A 31-year-old man attends the ED two days after returning from a holiday in the Gambia.
Severe complications of chickenpox that can lead to hospitalisation.
A stinging tale of paediatric anaphylaxis, with the added buzzzz of pre-hospital emergency care.
Learn the causes and management of a painful & swollen digit.
A woman presents with breast pain and fever to your emergency department. How will you manage this patient?
There are hundreds of skin diseases, many present with (often similar looking) rashes. Diagnosis of skin conditions can be a challenging task for non-dermatologists.
Refresh your knowledge on this latest outbreak.
A 4-year-old boy presents to the ED due to a 5 day history of general malaise, pyrexia, coughing and a rash.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A 56-year-old gentleman presents with a 2/52 worsening psoriasis.
Just because we can incise an abscess, should we?
This session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines
This learning session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines.
From somewhere under the sea, sun... and food container.
Diving-related problems can present in many ways and their appropriate and timely management is essential for good outcomes and patient safety.
Diving-related problems can present in many ways and their appropriate and timely management is essential for good outcomes and patient safety.
We’ve all seen diabetic foot presentations in the ED but many more of them are managed successfully in primary care and podiatry clinics. As in many other areas, the ED has a huge role to play in prevention as well as treatment.
This blog considers how to perform an I&D in the ED and how those familiar with the procedure might set up practical training sessions.
A 82-year-old man attends the ED after a fall at home.
The forbidden forest is home to many dangerous creatures, where an encounter with even the smallest ticks can leave a big impact.
An SAQ designed to consolidate your knowledge on the features and management of Kawasaki disease.
Rashes are difficult to diagnose in both children and adults. The key is to be able to identify the important types (anaphylaxis urticaria, meningitis, non-accidental injury), and then manage to learn about the rest slowly
A 29-year-old farmer presents to your local ED with a bite mark over the upper left calf.
1 in 300 people will experience anaphylaxis at some point in their lives. The 2021 anaphylaxis guidelines provide an updated consensus for the recognition and management of anaphylaxis in all age groups.
A painful rash and a febrile illness -but could it be necrotising fasciitis? How can you tell?
A third of deaths from food anaphylaxis occur despite appropriate early management. Consequently, the RCUK have recognised a need for standardised algorithms for ongoing resuscitation in cases of refractory anaphylaxis.
Children commonly present to the emergency department with a febrile illness and a rash
A 24-year-old woman presents to the Emergency Department with increasing lip swelling over the past hour.
This month we discuss Killer rashes-not to miss, Traumatic Eye Injury, how to distinguish Severe Drug Reactions in the ED, REBOA: What have we learnt?
Patients frequently attend the emergency department (ED) with episodes of cutaneous and mucosal swelling.
An 11-month-old boy presents after developing rashes on his hands, feet, and around his mouth.
Impetigo, erysipelas, cellulitis and necrotising fasciitis represent a spectrum of soft tissue infections
This session covers the cause, clinical features, treatment and management of impetigo, cellulitis, erysipelas and necrotising fasciitis
This month we discuss Do Beta Blockers Effect Lactate Levels in Sepsis? | Bites and Stings | PPE for COVID in HCW | Cellulitis
A 33-year-old female presents to the Emergency Department with atraumatic hip pain.
Chest pain in children and young people is thankfully, in the most part, not too concerning. But explaining exactly what the cause of it is, can be tricky. And when do we need to worry?
A 46-year-old man attends the ED with an itchy rash on both his forearms. It started yesterday evening, and has worsened today.
A 67-year-old man with a history of psoriasis presents in hypovolaemic shock with a 3 day history of malaise, oliguria and widespread erythema.
Understanding paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PIMS-TS).
A 15-month-old presents to your Emergency Department with a rash and swelling on both legs and feet. The patient has a mild fever but is otherwise well.
A 16-year-old boy attends the ED complaining of a 1 day history of an itchy rash on the trunk and upper arms.
A 45-year-old man attends the ED with a presenting complaint of a "personal problem".
A new rash in a 5-year-old boy.
A 7-year-old boy is brought to your ED by his father feeling unwell with a very itchy rash.
Lyme disease is a spirochete infection transmitted by ticks. ED presentation, although rare, is important to identify to enable early treatment.
What went wrong for a child who picked up Lymes’ instead of limes?
FRCEM Primary Examination Single Best Answer
A 7-year-old girl presents with an acute, painful hot knee and a red-purple non-blanching rash.
This month we discuss measles and Major incident triage
FRCEM Primary Examination Single Best Answer
November 2018
June 2018
The second day in Leeds had a presidential opening by RCEM’s very own Cliff Mann, who gave a very reassuring talk about the pressures we are all facing in the emergency department
Soft tissue infections are bread and butter cases for the EM clinician. Adrian Boyle gives an overview of the main take home points from his talk on just this topic at the #RCEMBelfast Conference
A 4-year-old child attends the ED with some spots on her arm. Her mother first noticed these several weeks ago and thought they were skin tags, but over the last week they have become more numerous and look inflamed.