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Acute Epistaxis

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.
During Summer storms, lightning strikes can cause fatalities …but what happens to the survivors?
A 4-year-old girl presents to the Emergency Department with a four-day history of fever and sore throat.
A 50-year-old man was brought to the ED with ongoing dizziness, visual hallucinations and floaters in his eyes.
A 56-year-old woman is brought to the ED by her husband as she has been unable to stop a nosebleed.
A 77-year-old man presents with sudden onset of nausea, vomiting & difficulty walking.
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.
This module covers the assessment, treatment and management of patients presenting to the ED with primary blast injuries.
Young male with rash dizziness and facial weakness
A patient presents with suspected aspiration but turns out to have something even more concerning.
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?
A 79-year-old male presents with sudden onset shortness of breath, stridor and respiratory failure.
Refresh your knowledge on this latest outbreak.
Vertigo is a common problem which affects 5% of adults in any one year. Consequently, it is a frequent presenting problem to the ED
Vertigo is a false perception, experienced by the patient, of rotation or movement of the external world or of the individual in space.
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.
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.
Small magnets in small people.
There’s a lot to know about PEM. Can you answer our questions on some of the more common PEM?
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.
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.
A woman in her 50s presents with sudden onset nausea and vertigo.
A 65-year-old gentleman attends with a 4 week history of increasing pain on swallowing - although he is still managing to eat and drink.
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.
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.
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 60-year-old man with a tracheostomy is brought into the emergency department with acute shortness of breath
Tracheostomy emergencies are rare in the emergency department but are associated with high mortality and morbidity.
Tracheostomy emergencies are rare in the emergency department but are associated with high mortality and morbidity. It is therefore essential that emergency department practitioners are competent in assessing and stabilising patients with complications arising from tracheostomies.
This session looks at the assessment and management of acute facial palsy.
A bleeding patient on anticoagulation
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?
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.
Anyone who has ever worked in an ED on a Friday night knows that facial injuries are a common presentation
This session covers the assessment, investigation and management of injuries to the bones of the midface; the zygoma, zygomatic arch, maxilla, orbit and nose.
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.
34-year-old male with malaise, myalgia, bilateral neck swelling and a headache
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.
A 49-year-old man is brought to the ED by ambulance after waking this morning with severe vertigo.
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 34-year-old female presented 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?
An 18-year-old female presents after falling 8ft from a tree. She landed directly onto her head and lost consciousness for 30 seconds.
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.
Train hard, fight easy: Managing a cardiopulmonary arrest in a patient with suspected COVID-19
A 16-year-old boy attends the ED complaining of a 1 day history of an itchy rash on the trunk and upper arms.
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.
Last April saw the England Boxing National Amateur Championships held in Nottingham. As a member of the England Boxing Medical Committee I was invited to sit ringside for the tournament as the Ringside Doctor.
This month we have New in EM TXA for epistaxis, EMEC Liz Herrieven, Mark Lyttle ASC, IPED Study
What went wrong for a child who picked up Lymes’ instead of limes?
A 7-year-old girl presents with an acute, painful hot knee and a red-purple non-blanching rash.
This session looks at the assessment and management of acute facial palsy.
June 2018
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
Managing Parkinson’s in the ED, Flaoting in the Face of Danger, MaxFax injuries in the E, and Paediatric Heart Murmurs & what to do with them
The new podcast for June 2017
report errors at an early stage so that lessons can be learned quickly,
You put an adult trauma call out and start preparing for the patient.
An 11-year-old boy is seen in the accident and emergency department by an SHO.