Authors: Andy Neill / Codes: HAP27, HAP26, HMP2, PAP12, HAP36, CAP22, CAP6, CAP7, CAP10 / Published: 05/04/2017
The 2017 RCEM CPD conference was held in central London in April 2017. There was a great selection of speakers and we had the good fortune to capture a few interviews with some of the speakers.
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Peri-Mortem C-Section: Jules Blackham
- >20 wks – just do it
- vertical incision
- all you need is a scalpel and scissors
- don’t tilt them just get someone to manually displace uterus by pulling it to left
Paediatric Headache: Dan Lumsden
- look for red flags for secondary headaches
- personality changes and neurological signs are obvious
- the others are all similar to those that we look out for in adults
- primary headaches such as tension and migraine are common and we should look for and try and diagnose these
Chronic Kidney Disease in the ED: Katherine Henderson
- CKD is chronic immunosuppression, not as severe as neutropenia but still significant
- troponin is often raised and difficult to interpret but should not be ignored purely because of CKD
- dimer is similar – useful if negative but it does rise in CKD. Might be a role for creatinine adjusted dimers in future
- check your prescribing. Aciclovir a famous one for this
Geriatrics and end of life planning: Linda Dykes
- we can and should be involved in planning DNA CPR
- read Being Mortal
- most patients are open to discussion. It’s usually us that are loathe to discuss it.
Acute Heart Failure: Mervyn Singer
- furosemide works mainly by the vasodilation. Patients feel better before the diuresis happens
- Singer prefers nitrates over diuretics
- GIK (glucose insulin potassium) is novel in heart faulure with minimal evidence base but extrapolated from ca channel overdose literature. Singer uses it as a catecholamine sparing drug.
Adolescents in the ED: Rhys Bennon
- adolescents have their own special needs that we don’t meet particularly well.
- The HEADSSS mnemonic can be useful