A 48-year-old man on carbamazepine developed acute ataxia and vomiting after starting clarithromycin for cellulitis, with toxic carbamazepine levels, highlighting a preventable drug–drug interaction.
An elderly lady is brought to your ED by ambulance after falling at home. She is hypotensive, tachypnoeic and agitated. She has a wound on her right shin with no active bleeding.
This blog is something a bit different. Based on real Coroner’s cases, we’ve pulled out some critical decision moments, so you can work your way through the patient journey and decide what you would do.
Best practice advice on how Emergency Departments should implement screening programmes and balance these with the need to assess and treat acute illness and injury.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This module outlines the ultrasound guided technique.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This session outlines the ultrasound guided technique.
Delirium, or acute confusional state, is a common cause of attendance to an ED. The high morbidity and mortality associated with this condition highlights the need for continuing review of the management of acutely-confused elderly patients.
Delirium, or acute confusional state, is a common cause of attendance to an ED. The high morbidity and mortality associated with this condition highlights the need for continuing review of the management of acutely-confused elderly patients.
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.
An elderly lady presents to a Minor Injuries Unit following head injury. On examination, evidence of suspected skull base fracture is found and she is, therefore, referred to the ED for radiological investigation.
A conducted energy device (CED) ‘taser’ was discharged into a patient’s shoulder. Before this patient is taken into police custody, you’ve been asked to assess them in your ED.
The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
Falls can be significantly debilitating and distressing events for patients. The elderly form an increasing proportion of the general population, meaning falls are a common presentation to the ED.
Our curriculum mentions pacing, and we all think that we know all about that as we’ve got ALS… right? Some of our brief discussions on twitter highlighted that pacing can be more complicated than ALS implies, and actually isn’t very common in ED.
This month we have part B of our recordings from the Annual Scientific Conference. We discuss End of life and escalation with Dr Calvin Lightbody, Organ donation in EM with Dr Katja Empson and TBI in ED with Dr Virginia Newcombe
Cervical spine injuries are rare but potentially devastating. Immobilisation of the cervical spine on the slightest suspicion of injury is recommended by most resuscitation courses.
DNA CPR or “do not attempt resuscitation” decisions are confusing to many. If discussed sensitively and correctly, they make a huge huge huge immeasurable difference to the hospital stay of the patient, and their relatives.
Fracture of the neck of the femur is a common injury and the incidence is increasing although it is not always easy to diagnose. The majority of fractures are caused by falls in the elderly and the fracture usually occurs through osteoporotic bone
May 2020 podcast featuring Dan Simmons on Leadership, New in EM Ultralong IV Cannula with ultrasound, AKI Guidelines, New in EM Hypothermia in non shock rhythms
Working in the ED probably exposes us to a considerable amount of death and dying. From the unexpected cardiac arrest or trauma patient, through to the expected death of a patient with a terminal prognosis
Every year, at the Royal College of Emergency Medicine Annual Scientific Conference, the Rod Little prize is held to celebrate trainee research and recognise the outstanding work of the winner
Approximately 10% of all admissions to the Emergency Department (ED) are related to patients having a mental health crisis. With the ever increasing numbers of patients requiring mental health input, it is important that we understand the law that underpins our treatment (RCEM, 2018)
Alcohol use disorder (AUD) is defined by the World Health Organisation as consuming more than 40g/day of alcohol for males and 30mg/day of alcohol for females
Falls can be significantly debilitating and distressing events for patients. The elderly form an increasing proportion of the general population, meaning falls are a common presentation to the ED.
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