Search
  • Member only content
  • Clinical Case

Revise your Resuscitation: The Drowning Child

You are working on a rapid response vehicle (RRV) as a part of a PHEM-rotation and attend a ‘red’ call: “3-year-old cardiac arrest. Unsupervised child fallen into outdoor pond. Not breathing. Not responsive”.
  • Blog

Chemical Eye Injuries in the ED

Chemical eye injuries are time-critical emergencies. This blog outlines how to rapidly recognise and manage them in the ED, with practical tips on irrigation, pH monitoring, grading, and safe discharge.
  • Clinical Case

Chemical Burns

A 30-year-old, 50kg, factory worker presents to your ED following a chemical burn injury. While operating a machine at the Royal Mint an accident sprayed chemical over his face, neck and upper chest.
  • Clinical Case, ECG

What does this ECG suggest?

An elderly lady presents to the emergency department from a nursing home having been found on the floor in her room
  • Clinical Case

Not Just Iron Man: A Mysterious Case of the Blues

A 45-year-old male, with unresolved cyanosis despite oxygen, presents with pleuritic chest pain and recent PE history. Arterial blood gas was performed to assess underlying hypoxemia.
  • SBA

Summer Sun and Heat Illness

Here comes the Summer Sun…and Heat Stroke.
  • Clinical Case

Slow to warm up

You receive a standby call – female found at the bottom of a mountain, her temperature is unrecordable… What would you do?
  • SAQ

Drowning – SAQ

A 17-year-old man attends your ED having taken an unconventional shortcut on his way home. Check out this SAQ on Drowning.
  • Guideline

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.
  • Clinical Case

Burning Up

An 89-year-old female presents with an unrecordable temperature.
  • Learning Session

Acute Behavioural Disturbance

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.
  • SBA

Deep Blue Sea – Decompression Sickness

A case of breathlessness secondary to deep sea illness.
  • Reference

Cardiac Arrest in Special Circumstances: Hypothermic Cardiac Arrest

This session concentrates on patients with actual or impending cardiopulmonary arrest.
  • Clinical Case

Chest Pain in a Diver

An 18-year-old male attends your Emergency Department with left sided pleuritic chest pain.
  • SBA

Major Incident Management

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?
  • SAQ

Hypothermic Cardiac Arrest

Management of Hypothermic Cardiac Arrest
  • Learning Session

Trek Tragedy!! Review on Lyme Disease

Lyme disease is a spirochete infection transmitted by ticks. ED presentation, although rare, is important to identify to enable early treatment
  • Clinical Case

COOL —–àRUSH

A 33-year-old patient is brought in unresponsive. She is hypothermic, hypotensive, bradycardic, hypoglycaemic and has unequal pupils.
  • Learning Session

Radiation Exposure

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.
  • Reference

Radiation Exposure

Radiation can be subdivided into two categories - ionizing and non-ionizing, both of which have an effect on human tissue
  • Reference

Hypothermia and Frostbite

The physiological effects of hypothermia mean that the management of cardiac arrest requires an altered approach.
  • Learning Session

Severe Hypothermia

The physiological effects of hypothermia mean that the management of cardiac arrest requires an altered approach.
  • Clinical Case

The Bittersweet Cocktail

A 45-year-old female attended the ED after taking an intentional antifreeze overdose.
  • Reference

Severe Hypothermia

This session covers the assessment, treatment and management of patients presenting to an ED with the effects of hypothermia and frostbite.
  • Learning Session

Hypothermia and Frostbite

This module covers the assessment, treatment and management of patients presenting to an ED with the effects of hypothermia and frostbite.
  • Clinical Case

“Sting”ing the Heart

A patient with a bee sting complains of chest pain and has ECG changes, what are you thinking?
  • Learning Session

Drug Related Hyperthermia

This session considers the three main forms of drug related hyperthermia, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome.
  • Reference

Drug Induced Hyperthermia

This session considers the three main forms of drug related hyperthermia, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome.
  • SAQ

Heat Stroke – SAQ

Management of Heat Stroke in the ED
  • Learning Session

Decompression Illness

Diving-related problems can present in many ways and their appropriate and timely management is essential for good outcomes and patient safety.
  • Reference

Decompression Illness

Diving-related problems can present in many ways and their appropriate and timely management is essential for good outcomes and patient safety.
  • SAQ

Lyme Disease in Children

What went wrong for a child who picked up Lymes’ instead of limes?
  • SBA

Heat Illness

A drowsy marathon runner presents after training in the sun, with a significantly raised temperature and dry skin too hot to touch.
  • SBA

Heat Stroke

An elderly lady gardening in the hot summer sun becomes unwell soon after midday. How will you manage her heat stroke?
  • Reference

Heat Related Illness

Approximately 800 heat related deaths occur annually in the UK. In 2003, a heat wave in Southern England resulted in over 1000 deaths
  • Learning Session

Heat Related Illness

This session covers the assessment, treatment and management of patients presenting to an ED with the effects of heat stroke and heat exhaustion.
  • Learning Session

Industrial Chemical Incidents

This session covers the assessment and management of patients presenting to an emergency department with the effects of exposure to industrial chemicals
  • Reference

Industrial Chemical Incidents

Chemical incidents usually happen following leaks, explosions or fires in industrial settings
  • Blog

Sun, Sea and Altitude Emergencies – Part 2

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.
  • Blog

Sun, Sea and Altitude Emergencies – Part 1

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.
  • Reference

Trek Tragedy!! Review on Lyme Disease

Lyme disease is a spirochete infection transmitted by ticks. ED presentation, although rare, is important to identify to enable early treatment.
  • Blog

Emergency Casebook 4: It’s Cold Outside

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
  • Critical Appraisal

A Systematic Review of Therapeutic Hypothermia for Non-Shockable Cardiac Arrest

Systematic review of randomised and non-randomised trials of therapeutic hypothermia for non-shockable cardiac arrest
  • Reference

Drowning

The usual response to submersion is a voluntary breath hold, to prevent aspiration of water.

Ⓒ 2025 Royal College of Emergency Medicine & Creative Commons