Haematology - RCEMLearning

Epistaxis on Warfarin

A bleeding patient on anticoagulation

Clinical Case

The Apoplectic Abdomen

A 22-year-old man presents to the ED following a collapse with abdominal pain and no history of trauma.

Clinical Case

Riding into Rupture

A motorcyclist presents after a high speed collision, appearing stable with minor signs. But is everything as it seems? Would you trust the vitals or investigate further?

Clinical Case

How do I stop this bleed?

An 80-year-old gentleman is brought to the emergency department after falling at home.

Blog

You're in leafy Great Britain, and a young patient arrives in lots of pain. They ask for some morphine, because they have sickle cell, and you're not really sure whether this is appropriate. Read the blog to explore more about sickle cell!

Learning Session

Ultrasound: Skills of carrying out Focused Assessment with Sonography in Trauma (FAST)

FAST involves assessment of the peritoneal cavity, pleural cavity and pericardial space. Learning that free fluid is present facilitates the most appropriate management plan.

Paediatric Inflammatory Multisystem Syndrome (PIMS-TS)

Understanding paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PIMS-TS).

Clinical Case

The Mysterious Gut Opacity!

Young adult female patient presenting to the ED with abdominal pain, constipation and confusing findings in erect abdominal x-ray.

COVID-19 in Children (PIMS-TS)

Understanding paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome.

Clinical Case

It’s ALL very vague

A young child presents to your Emergency Department with non specific upper respiratory tract symptoms. You’ve seen him before on a previous visit.

Clinical Case

A paediatric itchy and blotchy rash – is all what it seems?

A usual occurrence of a 5-year-old girl who developed develops a rash following chicken pox.

Reference

Disseminated Intravascular Coagulation (DIC)

Learning Session

Disseminated Intravascular Coagulation (DIC)

This learning session discusses the core concepts underlying the pathophysiology and management of DIC in the Emergency Department.

Reference

Transfusion Reactions

Transfusion reactions range from mild to life threatening, and it is, therefore, important for clinicians to be able to assess, investigate and manage these presentations.

Learning Session

Transfusion Reactions

Transfusion reactions range from mild to life threatening, and it is, therefore, important for clinicians to be able to assess, investigate and manage these presentations.

Podcast

July 2024

This month we have: Blood biomarkers and algorithms and fever duration in febrile infants, Guidelines for EM - Sickle Cell Disease (Part Two), Absorbable vs non-absorbable sutures in facial lacerations and New Online.

Reference

Immune Thrombocytopenia (ITP)

This session encompasses the evaluation and treatment of individuals who are either identified as having or presenting to the ED with signs and symptoms of Immune Thrombocytopenia.

Guideline

Management of Acute Presentations of Sickle Cell Disease in the Emergency Department – Guideline

How to manage acute sickle cell disease. Focus on early analgesia, warmth, hydration, and oxygenation. Recognition and management of specific complications. Criteria for admission and discharge.

Guideline

Suspected Nitrous Oxide Toxicity in the ED – Guideline

How to identify, investigate, and manage nitrous oxide toxicity.

Learning Session

Immune Thrombocytopenia (ITP)

This module encompasses the evaluation and treatment of individuals who are either identified as having or presenting to the ED with signs and symptoms of Immune Thrombocytopenia.

Podcast

June 2024

This month we are discussing paed nail bed repair, Sickle Cell Disease, James Lind Alliance Priority Setting Partnership for Major Trauma and New Online.

Reference

Sickle Cell Disease

This session discusses the pathophysiology that leads to the clinical manifestations of Sickle Cell disease and outline the assessment and management of the patients.

Learning Session

Breathlessness

This module covers the assessment and management of patients presenting with breathlessness to the ED.

Learning Session

Sickle Cell Disease

This module discusses the pathophysiology that leads to the clinical manifestations of Sickle Cell disease and outline the assessment and management of the patients.

Podcast

March 2024

This month we have Low vs High Dose Dexamethasone for Migraine, Thoracic aortic aneurysm, Transfusion thresholds in MI and New Online.

Blog

Blood Transfusion – Part 2

Here are a few reminders and updates on the basics of transfusion - Part 2.

Blog

Blood Transfusion – Part 1

Transfusion may seem simple, but here are a few reminders and updates on the basics of transfusion starting with the transfusion ten commandments.

Clinical Case

Send HELLP!

A 38-year-old female patient presents three days post-partum with vomiting and epigastric pain.

Clinical Case

Cardioversion Conundrum

A 48-year-old gentleman presents at 3am to the ED having woken at 2am with palpitations.

Reference

Blast Injuries

This session covers the assessment, treatment and management of patients presenting to the ED with primary blast injuries.

Learning Session

Blast Injuries

This module covers the assessment, treatment and management of patients presenting to the ED with primary blast injuries.

Sickle Cell Crisis

A 6-year-old boy with a background of sickle cell disease presents to the ED with two days of worsening right hip pain and is unable to weight bear.

Von Willebrand Disease (VWD)

Patient with Von Willebrand disease is brought to ED with per rectal bleeding.

Learning Session

The ALS Algorithm

RCEM, Advanced Life Support, ALS, shockable rhythm, non- shockable rhythm, cardiac arrest, resuscitation, resus.

Inflicted (non-accidental) Injury

The unspoken disease of inflicted, non-accidental injury in children.

Blog

Anticoagulants – to reverse or not to reverse?

As with most decisions in medicine, the decision to reverse anticoagulation depends on the risk vs the benefit of doing so for that individual patient. There are a few things to consider in particular when weighing up the two sides.

Reference

Pelvic Injuries

This session is about the assessment and complex management of patients with pelvic injury in the emergency department.

Learning Session

Pelvic Injuries

This session is about the assessment and complex management of patients with pelvic injury in the ED.

Clinical Case

Anti-over-anticoagulation

Anuric with an INR of 15 and an AKI 3 on a background of bilateral renal artery stenosis with stenting and life-long warfarin.

Reference

Lower Gastrointestinal Haemorrhage

This session covers the assessment and management of lower gastrointestinal (GI) haemorrhage.

Learning Session

Lower Gastrointestinal Haemorrhage

This session covers the assessment and management of lower GI haemorrhage.

Clinical Case

Mum, my arm’s not working

A 9-year old boy with known sickle cell disease who suddenly cannot move his right arm and leg.

Epistaxis in a child

A 7-year-old girl is brought into the ED by her mother on a busy Saturday afternoon after experiencing several nose bleeds at home over the preceding few hours.

The Oncology Emergency

Patients present to ED with complications of etiologies that might not yet have been diagnosed. As ED physicians, it’s imperative to connect the dots and identify themes, beyond the acute complaints.

Clinical Case

Unexplained Anaemia

A 30-year-old woman of African origin attends the ED complaining of lethargy and increasing shortness of breath.

Lyme Disease in Children

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

Tick Bites and Lyme Disease

The forbidden forest is home to many dangerous creatures, where an encounter with even the smallest ticks can leave a big impact.

Clinical Case

A breathless boy with bruising

A teenage boy is referred to you by his GP with nose bleeds, bruising and low energy levels

Learning Session

Leukaemia in the Emergency Department

This session outlines the pathophysiology of acute leukaemia, the first-line investigations and management, with a particular focus on scenarios likely to be encountered in the emergency department.

Reference

Leukaemia in the Emergency Department

The pathophysiology of acute leukaemia, the first-line investigations and management

Learning Session

Ultrasound: Assessment of patients in shock

This session explores how to use point-of-care ultrasound (POCUS) to assess patients presenting with shock to the ED .

Sickle Cell

Good supportive care makes a difference in sickle cell disease

Clinical Case

A Spider Bite

An 18-year-old female presents to the ED of your local hospital during a night shift with a spider bite over the thigh. She is feverish and tachycardic.

Reference

Lower Gastrointestinal Bleeding in Children

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.