You receive a sepsis pre-alert for a 39 year old female who is brought in by ambulance vomiting. She has muscle aches and a fever for 5 days. She is triaged to Covid resus. Her blood gas isn’t pretty. What are we missing?
A 25-year-old man with no significant past medical history presents to the Emergency Department with his wife complaining of a one day history of vomiting and diarrhoea.
A 75-year-old man presented to the ED of a District General hospital complaining of severe abdominal pain that followed an episode of vomiting earlier in the day. He also reported one episode of loose stool that morning.
Abdominal pain is a common presentation in paediatrics-increasing as the child gets older. Hopefully, this blog will serve as a guide of what to look for, when to refer and when to worry!
Alcohol abuse is undoubtedly a huge social problem in the UK. It is responsible for many unnecessary attendances to Emergency departments (ED) and is an enormous burden on the NHS, which must treat the complications of alcohol abuse
This month we have DVT guidelines | CRT vs Lactate Guided Fluid Resuscitation in Septic Shock | IAEM PoCUS 01 SHOC ED Study | DFTB18 Elliot Long | Stabbings in children | Non operative appendicitis management
At TERN Education we are keen to help you all learn how to critically evaluate the evidence based behind your practice. In order to do this, we are producing monthly ‘virtual’ journal club modules on RCEMLearning. It’s like a critical appraisal paper you can do in your own time!
When I was asked to talk about assessment of (de)hydration in children, about 6 months ago now, I accepted without a second thought. "How hard could it be?", I guessed, "I do this every single day"
This month we have 2 sections. Part 1 we discuss Timing of endoscopy, New in EM Haloperidol for migraine, New in EM Drugs v DCC in A Fib. Part 2 we discuss the RCEM guideline on suspected internal drug traffickers
A topic to muddy the FOAMed waters; constipation, a problem for many patients in which their care could be dramatically improved. Find out how in this podcast
Research in Emergency Medicine ranges in scale and complexity and covers a wide spectrum of subjects, all of which contribute to our overall knowledge base
A keen fisherman attends following a flu-like illness. He has a small head wound and is now jaundiced. One sign brings it all together, can you spot it?
"Toni is a 35 year old lady who attends the emergency department regularly with chest pain. Nothing seems to make it better, and her troponin is always normal. You wonder if there is a potential cause. Read on to find out that there is more to IBS than abdominal pain."
A 34-year-old man, with history of recent foreign travel, presents to the ED with fever, jaundice and right upper quadrant pain. Physical exam shows right upper quadrant tenderness.
It's a common card to pick up in some paeds EDs - the yellow newborn. But whilst this can be an 'easy' one, such tiny babies can strike fear into the hearts of some!
This module will discuss the causes of lower gastrointestinal bleeding in children. It will consider how the causes can be differentiated by age, when to perform further investigations and basic management plans.
This module will discuss the causes of lower gastrointestinal bleeding in children. It will consider how the causes can be differentiated by age, when to perform further investigations and basic management plans.
Prolonged jaundice is different from early jaundice as it is jaundice which persists for 14 days in a baby who was born at term (37 weeks or more gestation), or to 21 days in a pre-term baby born before 37 weeks gestation.
This guideline sets out the standards for timeliness of provision of analgesia and provides an approach to the delivery of analgesia for adult patients presenting to the ED.
This month we have: New in EM - Clonidine for pain, Guidelines for EM - NEXUS Chest CT Rule, an interview with Matt Reed, Coca cola for food boluses and New Online.
It's a common card to pick up in some paeds EDs - the yellow newborn. But whilst this can be an 'easy' one, such tiny babies can strike fear into the hearts of some!
A patient presents to the Emergency Department suspected of having illicit concealed drugs. This SAQ explores the clinical management, combined with the ethical and medicolegal aspects of their care.
The pancreas is the largest gland in the body and is situated transversely across the posterior wall of the abdomen, at the back of the epigastric and left hypochondriac regions.
A pregnant female accidentally takes an excess of paracetamol. This SAQ explores the important considerations taken when managing acute paracetamol poisoning during pregnancy.
Parkinson's disease is a common neurodegenerative disease affecting adults. Symptoms and disability can arise as a result of the disease itself and the complications of medical therapy.
Best practice advice on how Emergency Departments should implement screening programmes and balance these with the need to assess and treat acute illness and injury.
You receive a standby call for red-flag sepsis – Initial pattern recognition triggers the pathway. Shortly after arriving you experience ‘pattern interrupt’ and ponder new evidence in the treatment of this condition.
A 22-year-old man presented to the ED following a collapse with abdominal pain and no history of trauma. He was profoundly shocked and investigation revealed intra-abdominal haemorrhage.
The neonatal period (<28 days of age) and young infancy (< 3months ) is the most common time for presentation of congenital conditions and the highest susceptibility for infection.
You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical – but which one?
