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Ultrasound Guided Serratus Anterior Plane Block

Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This module outlines the ultrasound guided technique.
Frailty top ten
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This session outlines the ultrasound guided technique.
Learning about lightning injuries
During Summer storms, lightning strikes can cause fatalities …but what happens to the survivors?
A 60-year-old female patient presents to the ED with gradual-onset right-sided thigh and hip pain.
This session concentrates on patients with actual or impending cardiopulmonary arrest.
A 53-year-old lady with MS presents with left hip and pelvic pain after a fall.
Another faller presents to your ED Confused and smelling of alcohol. What will you do? How can you avoid missing the common pitfalls?
An 85-year-old lady is brought in after an unwitnessed fall in a care home complaining of right wrist pain. She has obvious facial bruising.
A 77-year-old man presents with sudden onset of nausea, vomiting & difficulty walking.
You are asked to see a 21-year-old student who cycled into a lamp post whilst intoxicated last night.
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. 
An older woman with a background of alcohol excess has an unusual blood gas. What is causing her drowsiness and how will you treat it?
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 low impact fall in a 64-year-old woman has caused her medial thigh pain. What injuries has she sustained?
This session is about assessment and management of patients presenting with transient loss of consciousness to the ED.
A 76-year-old diabetic is referred with confusion and is being treated for a UTI. She is tachycardic and drowsy, is there more than sepsis?
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 young lady presented with abdominal pain, lethargy, (Groin) bone pain, depression and headache.
The physiological effects of hypothermia mean that the management of cardiac arrest requires an altered approach.
The physiological effects of hypothermia mean that the management of cardiac arrest requires an altered approach.
An elderly gentleman presents to the ED with increasing frequency of nocturnal enuresis.
The unspoken disease of inflicted, non-accidental injury in children.
This session covers the assessment, treatment and management of patients presenting to an ED with the effects of hypothermia and frostbite.
This module covers the assessment, treatment and management of patients presenting to an ED with the effects of hypothermia and frostbite.
Recap of the ASC 2022 conference
An elderly lady attends the ED unaccompanied in the middle of the night. She is very confused, agitated and becomes aggressive towards the staff.
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.
A 52-year-old male electrician presents in the ED with a complaint of abdominal pain.
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.
A 67-year-old male is brought into the ED by his family who say he is “muddled”.
Cervical spine immobilisation is the most commonly performed procedure in pre-hospital care
A 79-year-old male was admitted to the Clinical Decisions Unit (CDU) following a fall. Was he kept safe?
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.
A minor injury with a major complication: applying clinically orientated anatomy in the ED.
Can you recognise acute kidney injury and prevent its deadly complications?
Don’t trip yourself up in patients with trauma and neurological symptoms.
Rhabdomyolysis is the breakdown of muscle fibres resulting in the release of muscle fibre cell contents into the bloodstream.
This session looks at the causes, identification and treatment of rhabdomyolysis in 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
This session is about assessment and management of patients presenting with transient loss of consciousness to the ED.
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.
This session aims to illustrate, through a series of clinical cases, the common presentations and complications of acute kidney injury (AKI).
A 92-year-old man attends the emergency department complaining that his right shoulder "looks a funny shape".
This session describes the most common childhood exanthems that present to emergency departments
This month we discuss Self performed high vaginal swabs, Anaphylaxis, Canadian TIA Score, Peads Acute Severe Asthma
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.
In the UK approximately 4 million adults have asthma. In 2004, over 1200 adults died from asthma in the UK
This month we have HINTS exam in the ED, Frailty, Compression for cellulitis & IBD
An 84-year-old woman presents to emergency department with new confusion and weakness.
Sedation is a routine aspect of emergency care. The aim is clear: make the procedural experience as comfortable as possible for your patient, whilst ensuring that your practice is safe.
Discussing the indications for procedural sedation
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
The risk factors for a fractured NOF can simplistically be divided into risk factors for falls and risk factors for osteoporosis.
A 46-year-old female patient presents as she keeps falling over and is no longer able to feed herself
Dementia is a common disease within the elderly population. The care of these patients poses challenges for clinicians and carers alike.
Dementia is a common disease within the elderly population. The care of these patients poses challenges for clinicians and carers alike
An elderly lady presents with a fall and subsequent left upper limb pain.
A 68-year-old man presents to ED following a fall. He says he has felt lethargic and feverish for 2 days.
An 86-year-old lady was admitted to the Emergency Department following a vacant episode during the night.
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
All our Current COVID-19 information collated together in one handy iBook alongside amazing content from St Emlyn's and Don't forget the bubbles
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
RCEMLearning Coronavirus, COVID19, tips and resources
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
This month we have What do older people want from emergency care, Determination of the best early warning scores to predict clinical outcomes of emergency department patients, Is Seniority of Emergency Physician Associated with the Weekend Mortality Effect?
A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations
This iBook (in conjunction with a series of associated clinical cases) is another manifestation of the heterogenous learning communities which constitute EM.
Alcohol withdrawal is a common presentation to UK EDs and patients can present significant management challenges to clinicians.
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
Adult priority call, 3 minutes. You read the ambulance hand over, and tut to yourself. 90 year old lady, fallen down the stairs, normal observations
January 2018
The December 2017 Podcast
The RCEMLearning podcast for November 2017
The new podcast for August 2017
The new podcast for July 2017
The new podcast for June 2017
Welcome back to the RCEM Learning podcast for May 2017
So you’re in the Emergency Department when a medical alert arrives. He’s tachypnoeic, tachycardic and visibly cyanotic with saturations of 75% on room air
RCEM '15 in Manchester has been a sell out! For those of you that weren't lucky enough to be here, here's what's been going on on Day 3!
Urine testing potentially isn’t the most glamorous of topics but it’s an area which there’s a HUGE scope for us improving on
Day 1 of the First CPD Conference since the College went Royal
Acute Confusion in the Emergency Department
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.