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Acute Behavioural Disturbance in Emergency Departments – Guideline

How to recognise and manage patients with Acute Behavioural Disturbance in order to support their emergency care whilst maintaining safety of the patient, staff, and others.
An 89-year-old female presents with an unrecordable temperature.
This module identifies the clinical features of acute behavioural disturbance (ABD) and covers the initial assessment and management of patients with ABD in the Emergency Department.
A case of breathlessness secondary to deep sea illness.
This session concentrates on patients with actual or impending cardiopulmonary arrest.
An 18-year-old male attends your Emergency Department with left sided pleuritic chest pain.
An explosion has occurred at a nearby chemical plant and your emergency department is the nearest healthcare facility. Are you ready to handle this major incident?
Management of Hypothermic Cardiac Arrest
Lyme disease is a spirochete infection transmitted by ticks. ED presentation, although rare, is important to identify to enable early treatment
A 33-year-old patient is brought in unresponsive. She is hypothermic, hypotensive, bradycardic, hypoglycaemic and has unequal pupils.
This session provides an overview of the basic science of ionising radiation exposure for the ED physician as well as an approach to the investigation, treatment and management of a patient exposed to radiation.
Radiation can be subdivided into two categories - ionizing and non-ionizing, both of which have an effect on human tissue
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.
A 45-year-old female attended the ED after taking an intentional antifreeze overdose.
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.
A patient with a bee sting complains of chest pain and has ECG changes, what are you thinking?
This session considers the three main forms of drug related hyperthermia, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome.
This session considers the three main forms of drug related hyperthermia, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome.
The aim of TERN Top Papers is to highlight the top emergency care related papers for emergency physicians. This month’s topic is critical care.
Management of Heat Stroke in the ED
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.
A drowsy marathon runner presents after training in the sun, with a significantly raised temperature and dry skin too hot to touch.
An elderly lady gardening in the hot summer sun becomes unwell soon after midday. How will you manage her heat stroke?
Here comes the Summer Sun…and Heat Stroke.
Approximately 800 heat related deaths occur annually in the UK. In 2003, a heat wave in Southern England resulted in over 1000 deaths
This session covers the assessment, treatment and management of patients presenting to an ED with the effects of heat stroke and heat exhaustion.
This session covers the assessment and management of patients presenting to an emergency department with the effects of exposure to industrial chemicals
Chemical incidents usually happen following leaks, explosions or fires in industrial settings
A 36-year-old female, with a previous history of asthma, was brought to the emergency department at 1840hrs on a Saturday afternoon
You move to your second base as some divers have surfaced and are getting ready to pack up. You notice one of them is swaying left and right and stops due to complaints of pain in his back. He has started to feel out of breath.
Big city medicine can sometimes be tricky to tick the box that says "Environmental Emergencies" in the RCEM curriculum. But a day in the life of a doctor living in more "outdoor" or seaside settings can help you get the mindset that is needed for these sort of pre-hospital jobs.
A 30-year-old, 50kg, factory worker presents to your emergency department following a chemical burn injury. While operating a machine at the Royal Mint an accident sprayed chemical over his face, neck and upper chest.
An elderly lady presents to the emergency department from a nursing home having been found on the floor in her room
A 17-year-old man attends your ED having taken an unconventional shortcut on his way home. Check out this SAQ on Drowning.
Lyme disease is a spirochete infection transmitted by ticks. ED presentation, although rare, is important to identify to enable early treatment.
What went wrong for a child who picked up Lymes’ instead of limes?
The July 2018 Podcast
Temp Taking and how to Take it by Andy Neill, A new Dawn for Stroke Patients by Nikki Abela, and Arrest Asthma by James Yates
This is the fifth in a series of Emergency Casebooks from the virtual hospital CFN General, with key learning points for staff working in an Emergency Department
Systematic review of randomised and non-randomised trials of therapeutic hypothermia for non-shockable cardiac arrest
The usual response to submersion is a voluntary breath hold, to prevent aspiration of water.