You take a history from a 16-year-old American boy and his parents, who are on holiday in the UK for the next 2 weeks. He is complaining of a severe sore throat of 5 days duration.
A 2-year-old presents with a 10-day history of food refusal and vomiting, now with blood-stained vomitus. Chest X-ray reveals a button battery lodged in the distal oesophagus.
A 70-year-old patient, on nasogastric feeding, was seen with a spontaneous non-functioning NG tube, passed 2 days ago successfully. Attempts with fresh tap water flushes went in vain. Physician felt quite a resistance while trying to pull it out.
This module covers the assessment, investigation and management of injuries to the bones of the midface; the zygoma, zygomatic arch, maxilla, orbit and nose.
A 14-month-old boy presented to the Emergency Department following a choking episode the previous day at kindergarten. He had been eating a piece of diced apple at the time.
A 35-year-old male presents to the ED with a history of being punched on the face, with a nasal bone injury, bleeding and deformity. Discussion on evaluation, examination, imaging and specialist referral in the ED.
Tracheostomy emergencies are rare in the ED but are associated with high mortality and morbidity. It is therefore essential that ED practitioners are competent in assessing and stabilising patients with complications arising from tracheostomies.
Children (mainly), and even some adults, like to put a range of objects in any orifice they can find. Once they're in, they come to us in the ED to sort out whether they're really there, and how best to extract them.
Guideline summary
30-word description of the Guideline How to diagnose and manage adults with severe sore throat, including life-threatening supraglottitis / epiglottitis
Children commonly present in the ED with stridor. Stridor is a sign of upper airway obstruction. An ED physician must be able to diagnose, initiate treatment, appropriately investigate, anticipate and manage complications.
Children commonly present in the ED with stridor - a sign of upper airway obstruction. An ED physician must be able to diagnose, initiate treatment, appropriately investigate, anticipate and manage complications.
This guideline sets out the standards for timeliness of provision of analgesia and provides an approach to the delivery of analgesia for adult patients presenting to the ED.
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.
FB inhalation is a common cause of mortality and morbidity in children. It is often not witnessed so must be considered in children with unexplained acute respiratory symptoms.
This month we discuss: The STANDING Protocol for Vertigo, Head Injury (Part 2 of 2), A History of A&E Performance with Steve Black, TTA Topical Anaesthetics for Corneal Abrasion and New Online.
Tracheostomy emergencies are a relatively common and often alarming occurrence – do you know how to manage a patient presenting with a tracheostomy emergency?
Is love in the air? …or is it the kissing disease?
It was only a kiss, how did it end up like this? A teenage boy got more than he was bargaining for after an innocent kiss with his girlfriend but do you know enough about the "kissing disease" to aid in his management?
Group A streptococcus/ Grp A Strep or GAS in short - What is it? Why is it happening? Why is it important now? Why the invasive increase in infection rate?
This session covers the assessment, investigation and management of the patient who presents to the ED with a sore throat. It also covers the more serious conditions that can present in this way.
This session covers the assessment, investigation and management of the patient who presents to the ED with a sore throat. It also covers the more serious conditions that can present in this way.
A 7-year-old girl is brought into the ED by her mother on a busy Saturday afternoon after experiencing several nose bleeds at home over the preceding few hours.
The majority of post-tonsillectomy bleeds are self-limiting. However, bleeding can be occult and early identification is important to prevent further complications.
The majority of post-tonsillectomy bleeds are self-limiting. However, bleeding can be occult and early identification is important to prevent further complications.
An 8-months-old boy is brought to the Emergency Department with a 1-day history of worsening seal-like barky cough and inspiratory stridor when crying, preceded by coryza.
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.
A 2-year-old boy is brought to the Emergency Department with a barking cough and noisy breathing. Can you diagnose and treat him before he deteriorates?
Referred pain into the upper extremities often accompanies neck pain. Referred pain can be the initial symptom of a compressed nerve root by a ruptured disc or stenosis at the foramina from osteophytes.
Ear trauma is a common presentation to the Emergency Department. Whilst generally simple to manage, the consequences of ear trauma have the potential to impact patients’ day-to-day lives significantly
A 38-year-old male presents with a continuous cough, shortness of breath and fevers. Over the past 2 days he has had intense generalised muscle aches, fatigue, loss of taste and smell and a reduced appetite.
To the ENT novice there are a baffling number of terms that refer to problems with the ear... "otitis media" is that acute? Or suppurative? Or secretory? And where does glue ear fit into all of this and what are grommets anyway?!
Paediatric cases of Bell's Palsy are relatively uncommon (6.1/100000 in the age range 1-15 (1)); understandably, witnessing a rapidly developing facial asymmetry in a child will cause worried parents/guardians to rush to see a doctor
A 58-year-old primary school teacher with type 2 diabetes mellitus presents to your ED with shortness of breath. His breathlessness has increased overnight and is exacerbated on minimal exertion.
This session looks at the assessment and management of acute facial palsy.
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