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A 56-year-old male with stuffy nose and fall 6 days ago. Clinically infected septal hematoma - Swelling in both nostrils; high CRP, nasal deformity.
This session explores the presentation, diagnosis and management of patients presenting to the ED with vertigo.
This module explores the presentation, diagnosis and management of patients presenting to the ED with vertigo.
This module covers decompression illness, explaining the scientific principles behind its pathophysiology, identifying major risk factors for its development and exploring the critical role of oxygen in early management. It also provides an overview of other important diving-related conditions.
This session covers decompression illness, identifying major risk factors for its development and exploring the critical role of oxygen in early management. It also provides an overview of other important diving-related conditions.
A previously fit and well 25-year-old male presents with acute unilateral hearing loss following a morning gym session.
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.
Paediatric cases of Bell’s Palsy are relatively uncommon. Understandably, witnessing a rapidly developing facial asymmetry in a child will cause worried parents/guardians to rush to see a doctor.
A 49-year-old man is brought to the ED by ambulance after waking this morning with severe vertigo.
A 39-year-old man presents with a 4–5-day history of fever, rigors, general malaise, and worsening shortness of breath.
A bleeding patient on anticoagulation
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 34-year-old female presents to the emergency department with a 3-day history of left ear pain, without discharge or tinnitus.
A lady presents with ear pain not improving with antibiotics from her GP, is there something else going on ear?
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 60-year-old male BG HTN presents with acute left-sided facial weakness.
Small magnets in small people.
A patient presents with a 7 day history of pain and swelling to the right side of the face. What is the diagnosis and how will you investigate it?
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.
Anyone who has ever worked in an ED on a Friday night knows that facial injuries are a common presentation
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 young woman presents with a painful, swollen ear after a recent piercing.
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 emergency department but are associated with high mortality and morbidity.
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.
This month we have Oxygen for trauma patients | Patellar dislocation | Sex and gender reporting in research - Raine Astin-Chamberlain | New Online
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.
An 11-year-old boy is seen in the accident and emergency department by an SHO.
A 7-year-old girl presents with an acute, painful hot knee and a red-purple non-blanching rash.
A 60-year-old man with a tracheostomy is brought into the emergency department with acute shortness of breath.
A 15-year-old boy presents to the Children's Emergency Department following a single episode of bleeding from his ear.
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.
Refresh your knowledge on this latest outbreak.
This blog discusses the preparation, assessment and management of the patients presenting with maxillofacial injuries.
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.
34-year-old male with malaise, myalgia, bilateral neck swelling and a headache
This session covers the assessment and management of epistaxis in the emergency department.
This session covers the assessment and management of epistaxis in the emergency department.
Once you have heard the classic “croupy” cough, you won’t forget it.
A 25-year-old male patient presents to the emergency department with a history of nosebleeds when he presses his forehead.
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 36-year-old male presents with a 5-day history of sore throat, fever and dehydration.
A 56-year-old woman is brought to the ED by her husband as she has been unable to stop a nosebleed.
A painful ear in a febrile child
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.
A 34-year-old man presents to the ED feeling unwell for the past three days. He has a hoarse voice and increasing neck pain.
Tracheostomy emergencies are a relatively common and often alarming occurrence – do you know how to manage a patient presenting with a tracheostomy emergency?
This session covers the assessment, treatment and management of patients presenting to the ED with primary blast injuries.
A patient presents with suspected aspiration but turns out to have something even more concerning.
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?
A 79-year-old male presents with sudden onset shortness of breath, stridor and respiratory failure.
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.
There’s a lot to know about PEM. Can you answer our questions on some of the more common PEM?
A woman in her 50s presents with sudden onset nausea and vertigo.
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.
This session looks at the assessment and management of acute facial palsy.
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?!
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.
Using Emergency Medicine skills as a Boxing Ringside Doctor.
This session looks at the assessment and management of acute facial palsy.