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London CPD Conference 2017

Authors: Andy Neill / Codes: Podcast / 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

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2 Comments

  1. Christopher Wood says:

    Where is the PODCAST? “Content was blocked because it was not signed by a valid security certificate”. I have to log in separately from the RCEM website and now this.

    1. neilla says:

      Hi Christopher. This part of the site is open access and there’s no need to log in. The player for the podcast is at the top of the web page. Your browser must be blocking it so you may have to change the settings on your browser. Alternatively all the podcasts are available on iTunes at this link https://itunes.apple.com/gb/podcast/rcem-learning/id898228684?mt=2 or on libsyn here https://traffic.libsyn.com/secure/force-cdn/highwinds/rcemlearning/London_CPD_Conference_2017.mp3

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